Guardian Pharmacy Services Management

Billing Specialist

Minneapolis, Minnesota · Full-time

Sponsorship not specified$23k-$27kDetected 2 days ago

ExcelHRCustomer SupportResearchCommunicationProblem Solving

About the role

Eden Prairie, Minnesota, United States of America Extraordinary Care.
With one of the nation's largest, most innovative long-term care pharmacy services providers, there is no limit to the growth of your career.
Guardian Pharmacy of Minnesota, a member of the Guardian family of pharmacies, has an exciting opportunity for you to join our rapidly growing team in Eden Prairie, Minnesota.

Work Ethic/Integrity - must possess intrinsic drive to excel coupled with values in line with company philosophy
Relational - ability to build relationships with business unit management and become "trusted advisor."
Strategy and Planning - ability to think ahead, plan and manage time efficiently.
Maintain and continually audit patient files and corresponding documentation necessary to defend third party audits and ensure payer and company compliance. Accurately enter patient information into the pharmacy system.
Provide guidance and support to resident or responsible party by running Medicare plan comparisons during open enrollment and special enrollment periods.
Perform prescription claims adjudication including communication with insurance companies regarding rejected claims, eligibility, prior authorizations or other issues as needed. Make corrections as needed and rebill claims as necessary.
Develop knowledge and understanding in pharmacy facility billing requirements (Medicare, Medicaid, Prescription Drug Plans (PDPs) and Third-Party Insurances)

1+ years of related experience
Ability to excel in a fast-paced, team-oriented environment working on multiple tasks simultaneously, while adhering to strict deadlines
Must have an active MN pharmacy technician license
High School Diploma or GED required.
Pharmacy Technician license/certification/registration per state requirements; National Certification preferred (PTCB) may be required (pharmacy specific).
Advanced computer skills; pharmacy information system experience preferred.
Ability to work independently and deliver to deadlines.
Great attention to detail and accuracy
Quality minded; motivated to seek out errors and inquire about inaccuracies.
The noise level in the work environment is usually low to moderate.
Due to the collaborative nature of the business and the need to service customers, the employee must be able to interact effectively with others in an office environment, manage conflict, and handle stressful situations and deadlines.
Requires desk work in office environment.
Ability to work flexible hours.

Accurately enters and/or updates patient/insurance information into billing system.
Accurately enter patient information into the pharmacy system.
Provide assistance and timely response to all billing customer inquiries via phone or electronic communications.
Responsible for completion of daily census, admit, discharge, and room changes for the facilities assigned.
Process patient payments, returns, and credits.
Transmit individual credit card payments as needed.
May pursue payment from delinquent accounts and make payment arrangements.
Research, identify and organize requested audit documentation in timely manner.

Guardian provides employees with a comprehensive Total Rewards package, supporting our core value of, "Treat others as you would like to be treated."
Family, Health & Insurance Benefits (Full-Time employees working 30+ hours/week only)
Medical, Dental and Vision
Health Savings Accounts and Flexible Spending Accounts
Company-paid Long-Term Disability and optional Short-Term Disability
Dependent Care Flexible Spending Accounts

Our core focus is delivering customized medication management solutions to support healthcare organizations serving seniors and individuals with complex care needs.
With our comprehensive suite of tech-enabled pharmacy services and a dedicated team of professionals committed to enriching the lives of those we serve, we are redefining how pharmacy care is delivered.
We offer an opportunity to learn and grow your career in a fast-paced, diverse, and inclusive environment.
If you are looking for a challenging, team-oriented environment in which you can put your expertise to work, then this is the place for you.
401(k) with company match
Company-paid Basic Life and Accidental Death & Dismemberment

This listing is sourced directly from Guardian Pharmacy Services Management's careers page and normalized into a canonical job model.