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Pharmacy Billing Specialist

Guardian Pharmacy

Guardian Pharmacy of Northwest Florida is seeking a Pharmacy Billing Specialist to join its growing long-term care pharmacy team in Crestview, Florida.

This role supports medication management services for seniors and individuals with complex care needs in a non-retail pharmacy environment. The position is responsible for processing customer bills and insurance claims accurately and on time, assisting with daily and month-end billing functions, and providing excellent service to patients, caregivers, medical providers, and insurance carriers.

The schedule is Monday through Friday from 8:30am to 5:30pm.

Requirements & Qualifications

High school diploma or GED required.

Pharmacy technician license, certification, or registration per state requirements; national certification preferred and may be required depending on pharmacy-specific needs.

1+ years of related experience.

Advanced computer skills; pharmacy information system experience preferred.

Ability to work independently and meet deadlines.

Strong attention to detail and accuracy.

Ability to work in a fast-paced, team-oriented environment while managing multiple tasks and strict deadlines.

Quality-minded with the ability to identify errors and investigate inaccuracies.

Additional responsibilities include:

  • Researching and verifying patient eligibility and insurance coverage
  • Updating patient and insurance information in billing and pharmacy systems
  • Maintaining audit-ready files and supporting compliance documentation
  • Resolving billing questions and claim issues
  • Processing prescription claims adjudication, rejections, prior authorizations, and rebilling as needed
  • Handling payments, returns, credits, and delinquent account follow-up
  • Following HIPAA and other applicable government regulations
Benefits & Perks

Competitive pay

401(k) with company match

Medical, dental, and vision coverage

Health savings accounts and flexible spending accounts

Company-paid basic life and accidental death & dismemberment insurance

Company-paid long-term disability and optional short-term disability

Voluntary employee and dependent life, accident, and critical illness coverage

Dependent care flexible spending accounts

Employee assistance program (EAP)

Guardian Angels employee assistance fund

Paid holidays and sick days

Generous vacation benefits based on years of service

Location

Florida, US

Employment Type

Full-time

Experience Level

Entry Level

Remote work allowed

No

Posted

1 month ago

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