Guardian Pharmacy Services Management
Collection's Specialist
Minneapolis, Minnesota · Full-time
Sponsorship not specifiedDetected 1 day ago
ExcelHRCustomer SupportResearchCommunicationProblem Solving
> stay_score
odds of building a lasting career here
16Unrated
Cap-exempt (no lottery)0
Sponsors this role0
Entry-level history0
PERM / green-card track0
Lottery odds40
Fits your clock70
No strong sponsorship signal in the public record yet. In the full product we resolve the exact legal entity and show its filing history with a confidence score — treat as unverified until then.
Lottery odds assume a STEM candidate.
Personalize to your clock →> community_outcomes
No reports yet — be the first to help the next applicant.
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.
Responsibilities
- 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)
Requirements
- 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
- Develop proficiency in the utilization of pharmacy information systems to meet operational needs and regulatory requirements.
- 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.
- Competitive pay
- 401(k) with company match
Nice to have
- Advanced computer skills
- pharmacy information system experience preferred.
Compensation
- Starting Pay Range: $24-$26
Benefits
- 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)
- Company-paid Long-Term Disability and optional Short-Term Disability
- Dependent Care Flexible Spending Accounts
Company info
- Problem Solving - ability to analyze causes and solve problems at functional level.
- Team Oriented - ability to work effectively and collaboratively with all team members.
- Research and establish patient eligibility coverage with insurance providers including private individuals and/or government entities. Reverify benefit coverage criteria as needed for claims follow up. Accurately enters and/or updates patient/insurance information into billing system.
- Provide assistance and timely response to all billing customer inquiries via phone or electronic communications. Research and resolve patient billing issues regarding insurance eligibility, coverage, and related benefits.
- Provide guidance and support to resident or responsible party by running Medicare plan comparisons during open enrollment and special enrollment periods. Proactively review patient profiles, drug regimens and insurance coverage to evaluate options to save resident money.
- 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.
Apply directly at Guardian Pharmacy Services Management →Create a free account for alerts like thisView Guardian Pharmacy Services Management immigration profile
This listing is sourced directly from Guardian Pharmacy Services Management's careers page and normalized into a canonical job model.