pharmacy billing specialist

Guardian Pharmacy

<div>Ankeny, Iowa, United States of America
Extraordinary Care. Extraordinary Careers.
With one of the nation&rsquo;s largest, most innovative long-term care pharmacy services providers, there is no limit to the growth of your career.
Right Dose Pharmacy, a member of the Guardian family of pharmacies, has an exciting opportunity for you to join our rapidly growing team in Ankeny, Iowa.
Why Right Dose Pharmacy? We&rsquo;re reimagining medication management and transforming care.
Who We Are and What We&rsquo;re About:
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.
SCHEDULE: MONDAY-FRIDAY VARYING SHIFTS BETWEEN 8A-6P.
Responsible for processing customer bills and insurance claims in an accurate and timely manner. This includes assisting with all daily and month-end billing functions, procedures and reporting. Provides excellent customer service to patients, caregivers, medical providers and insurance carriers.
ATTRIBUTES REQUIRED:
<ul><li>Work Ethic/Integrity &ndash; must possess intrinsic drive to excel coupled with values in line with company philosophy</li><li>
Relational &ndash; ability to build relationships with business unit management and become &ldquo;trusted advisor.&rdquo;</li><li>
Strategy and Planning &ndash; ability to think ahead, plan and manage time efficiently.</li><li>
Problem Solving &ndash; ability to analyze causes and solve problems at functional level.</li><li>
Team Oriented &ndash; ability to work effectively and collaboratively with all team members.</li></ul>
ESSENTIAL JOB FUNCTIONS (include the following):<ul><li>
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.</li><li>
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.</li><li>
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.
</li><li>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.</li><li>
Responsible for completion of daily census, admit, discharge, and room changes for the facilities assigned.</li><li>
Process patient payments, returns, and credits. Transmit individual credit card payments as needed.</li><li>
May pursue payment from delinquent accounts and make payment arrangements.
</li><li>Research, identify and organize requested audit documentation in timely manner.</li><li>
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.</li><li>
Develop knowledge and understanding in pharmacy facility billing requirements (Medicare, Medicaid, Prescription Drug Plans (PDPs) and Third-Party Insurances)</li><li>
Develop proficiency in the utilization of pharmacy information systems to meet operational needs and regulatory requirements. This includes using pharmacy systems to process prior authorizations, resolve rejections, produce various reports as necessary, and complete billing functions.</li><li>
Rotate through other departments to gain working/functional knowledge of other department workflows.</li><li>
Follow all applicable government regulations including HIPAA.</li><li>
Work as a collaborative team member to meet the service goals of the pharmacy.</li><li>
Other essential functions and duties may be assigned as needed.</li></ul>
EDUCATION AND/OR CERTIFICATIONS:<ul><li>
High School Diploma or GED required.</li><li>
Pharmacy Technician license/certification/registration per state requirements; National Certification preferred (PTCB) may be required (pharmacy specific).</li></ul>
SKILLS AND QUALIFICATIONS:<ul><li>
1+ years of related experience</li><li>
Advanced computer skills; pharmacy information system experience preferred.</li><li>
Ability to work independently and deliver to deadlines.</li><li>
Great attention to detail and accuracy</li><li>
Ability to excel in a fast-paced, team-oriented environment working on multiple tasks simultaneously, while adhering to strict deadlines</li><li>
Quality minded; motivated to seek out errors and inquire about inaccuracies.</li></ul>
WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the job.<ul><li>
The noise level in the work environment is usually low to moderate.</li><li>
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.</li><li>
Requires desk work in office environment.</li><li>
Ability to work flexible hours.</li></ul>
What We Offer:
Guardian provides employees with a comprehensive Total Rewards package, supporting our core value of, &ldquo;Treat others as you would like to be treated.&rdquo; 
 
Compensation &amp; Financial<ul><li>
Competitive pay</li><li>
401(k) with company match</li></ul>
Family, Health &amp; Insurance Benefits (Full-Time employees working 30+ hours/week only)<ul><li>
Medical, Dental and Vision
</li><li>Health Savings Accounts and Flexible Spending Accounts</li><li>
Company-paid Basic Life and Accidental Death &amp; Dismemberment
</li><li>Company-paid Long-Term Disability and optional Short-Term Disability</li><li>
Voluntary Employee and Dependent Life, Accident and Critical Illness</li><li>
Dependent Care Flexible Spending Accounts</li></ul>
Wellbeing<ul><li>
Employee Assistance Program (EAP)</li><li>
Guardian Angels (Employee assistance fund)</li></ul>
Time Off<ul><li>
Paid holidays and sick days</li><li>
Generous vacation benefits based on years of service</li></ul>
The Guardian Difference
Our clients require pharmacy services that aren&rsquo;t &ldquo;cookie cutter.&rdquo; That&rsquo;s why every Guardian pharmacy is locally operated and empowered with the autonomy to tailor their business to meet their clients&rsquo; needs.
Our corporate support offices, based in Atlanta, Ga., provide services such as human resources, business intelligence, legal, and marketing to promote the success of each Guardian location.
Regardless of your role at Guardian, your voice and talents matter. Because healthcare is an ever-changing industry, we encourage innovative thinking, intellectual curiosity, and diverse viewpoints to ensure we stay competitive in today&rsquo;s dynamic business environment.
At Guardian, we are dedicated to fostering and advancing a diverse and inclusive workforce.
Join us to discover what your best work truly looks like.</div>

Pharmacy Billing Specialist

Tampa General Hospital

<div><div>Pharmacy Billing Specialist - Outpatient Specialty - (260001CE)<div>
</div></div><div>
Description<div></div> 
The Pharmacy Billing Specialist handles all medication billing functions within Pharmacy Services. Responsibilities include verifying insurance eligibility, facilitating prior authorizations, and collaborating with third-party payers and clinical offices. The specialist works with patients and providers to ensure access to medications and assists with denial appeals and financial assistance through funding sources. Additionally, the role involves auditing hospital pharmacy billing, resolving claim rejections, and supporting medical bill audits. The specialist performs duties in alignment with TGH&rsquo;s mission, vision, and values.<div> 
</div></div><div>
Qualifications<div>
</div><ul><li>
Associate's Degree Relevant Field</li><li>
Registered Pharmacy Technician</li><li>
Two (2) years of experience in healthcare, retail, pharmacy, or billing. Experience may be considered in 
lieu of degree.</li></ul><div>
</div></div><div>
Primary Location: Tampa</div><div>
Work Locations: TGH Main Campus 1 Tampa General Circle Tampa 33601</div><div>
Eligible for Remote Work: Hybrid Remote</div><div>
Job: Pharmacy</div><div>
Organization: Florida Health Sciences Center Tampa General Hospital</div><div>
Schedule: Full-time</div><div>
Scheduled Days: Monday, Tuesday, Wednesday, Thursday, Friday</div><div>
Shift: Day Job</div><div>
Job Type: Hybrid Remote</div><div>
Shift Hours: Day shifts 8am to 4:30pm Monday to Friday</div><div>
Minimum Salary: 43,180.80</div><div>
Job Posting: Mar 31, 2026, 9:15:20 AM</div></div>

Pharmacy Billing Specialist - Outpatient Specialty

<div>
 The Pharmacy Billing Specialist handles all medication billing functions within Pharmacy Services. Responsibilities include verifying insurance eligibility, facilitating prior authorizations, and collaborating with third-party payers and clinical offices. The specialist works with patients and providers to ensure access to medications and assists with denial appeals and financial assistance through funding sources. Additionally, the role involves auditing hospital pharmacy billing, resolving claim rejections, and supporting medical bill audits. The specialist performs duties in alignment with TGH&rsquo;s mission, vision, and values.
 
 
 <ul>
 <li>
 Associate's Degree Relevant Field
 </li>
 <li>
 Registered Pharmacy Technician
 </li>
 <li>
 Two (2) years of experience in healthcare, retail, pharmacy, or billing. Experience may be considered in lieu of degree.
 
 
 </li>
 </ul>
 
 Primary Location
 
 
 
 Tampa
 
 
 
 Work Locations
 
 
 
 TGH Main Campus
 
 
 
 Eligible for Remote Work
 
 
 
 Hybrid Remote
 
 
 
 Job
 
 
 
 Pharmacy
 
 
 
 Organization
 
 
 
 Florida Health Sciences Center Tampa General Hospital
 
 
 
 Schedule
 
 
 
 Full-time
 
 
 
 Scheduled Days
 
 
 
 Monday, Tuesday, Wednesday, Thursday, Friday
 
 
 
 Shift
 
 
 
 Day Job
 
 
 
 Job Type
 
 
 
 Hybrid Remote
 
 
 
 Shift Hours
 
 
 
 Day shifts 8am to 4:30pm Monday to Friday
 
 
 
 Minimum Salary
 
 
 
 43,180.80
 
 
 
 Job Posting
 
 
 
 Mar 31, 2026, 10:15:20 AM
</div>

<div>Statesboro, Georgia, United States of America
Extraordinary Care. Extraordinary Careers.
With one of the nation&rsquo;s largest, most innovative long-term care pharmacy services providers, there is no limit to the growth of your career.
Guardian Pharmacy of South Georgia, a member of the Guardian family of pharmacies, has an exciting opportunity for you to join our rapidly growing team in Statesboro, Georgia.
Why Guardian Pharmacy of South Georgia? We&rsquo;re reimagining medication management and transforming care.
Who We Are and What We&rsquo;re About:
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.
Responsible for processing customer bills and insurance claims in an accurate and timely manner. This includes assisting with all daily and month-end billing functions, procedures and reporting. Provides excellent customer service to patients, caregivers, medical providers and insurance carriers.
Schedule Needed:
Monday - Friday 9:00am-6:00pm
Remote opportunity (must be located near the Statesboro area); 90 days of onsite training required.
ATTRIBUTES REQUIRED:
<ul><li>Work Ethic/Integrity &ndash; must possess intrinsic drive to excel coupled with values in line with company philosophy</li><li>
Relational &ndash; ability to build relationships with business unit management and become &ldquo;trusted advisor.&rdquo;</li><li>
Strategy and Planning &ndash; ability to think ahead, plan and manage time efficiently.</li><li>
Problem Solving &ndash; ability to analyze causes and solve problems at functional level.</li><li>
Team Oriented &ndash; ability to work effectively and collaboratively with all team members.</li></ul>
ESSENTIAL JOB FUNCTIONS (include the following):<ul><li>
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.</li><li>
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.</li><li>
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.
</li><li>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.</li><li>
Responsible for completion of daily census, admit, discharge, and room changes for the facilities assigned.</li><li>
Process patient payments, returns, and credits. Transmit individual credit card payments as needed.</li><li>
May pursue payment from delinquent accounts and make payment arrangements.
</li><li>Research, identify and organize requested audit documentation in timely manner.</li><li>
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.</li><li>
Develop knowledge and understanding in pharmacy facility billing requirements (Medicare, Medicaid, Prescription Drug Plans (PDPs) and Third-Party Insurances)</li><li>
Develop proficiency in the utilization of pharmacy information systems to meet operational needs and regulatory requirements. This includes using pharmacy systems to process prior authorizations, resolve rejections, produce various reports as necessary, and complete billing functions.</li><li>
Rotate through other departments to gain working/functional knowledge of other department workflows.</li><li>
Follow all applicable government regulations including HIPAA.</li><li>
Work as a collaborative team member to meet the service goals of the pharmacy.</li><li>
Other essential functions and duties may be assigned as needed.</li></ul>
EDUCATION AND/OR CERTIFICATIONS:<ul><li>
High School Diploma or GED required.</li><li>
Pharmacy Technician license/certification/registration per state requirements; National Certification preferred (PTCB) may be required (pharmacy specific).</li></ul>
SKILLS AND QUALIFICATIONS:<ul><li>
1+ years of related experience</li><li>
Advanced computer skills; pharmacy information system experience preferred.</li><li>
Ability to work independently and deliver to deadlines.</li><li>
Great attention to detail and accuracy</li><li>
Ability to excel in a fast-paced, team-oriented environment working on multiple tasks simultaneously, while adhering to strict deadlines</li><li>
Quality minded; motivated to seek out errors and inquire about inaccuracies.</li></ul>
WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the job.<ul><li>
The noise level in the work environment is usually low to moderate.</li><li>
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.</li><li>
Requires desk work in office environment.</li><li>
Ability to work flexible hours.</li></ul>
What We Offer:
Guardian provides employees with a comprehensive Total Rewards package, supporting our core value of, &ldquo;Treat others as you would like to be treated.&rdquo; 
 
Compensation &amp; Financial<ul><li>
Competitive pay</li><li>
401(k) with company match</li></ul>
Family, Health &amp; Insurance Benefits (Full-Time employees working 30+ hours/week only)<ul><li>
Medical, Dental and Vision
</li><li>Health Savings Accounts and Flexible Spending Accounts</li><li>
Company-paid Basic Life and Accidental Death &amp; Dismemberment
</li><li>Company-paid Long-Term Disability and optional Short-Term Disability</li><li>
Voluntary Employee and Dependent Life, Accident and Critical Illness</li><li>
Dependent Care Flexible Spending Accounts</li></ul>
Wellbeing<ul><li>
Employee Assistance Program (EAP)</li><li>
Guardian Angels (Employee assistance fund)</li></ul>
Time Off<ul><li>
Paid holidays and sick days</li><li>
Generous vacation benefits based on years of service</li></ul>
The Guardian Difference
Our clients require pharmacy services that aren&rsquo;t &ldquo;cookie cutter.&rdquo; That&rsquo;s why every Guardian pharmacy is locally operated and empowered with the autonomy to tailor their business to meet their clients&rsquo; needs.
Our corporate support offices, based in Atlanta, Ga., provide services such as human resources, business intelligence, legal, and marketing to promote the success of each Guardian location.
Regardless of your role at Guardian, your voice and talents matter. Because healthcare is an ever-changing industry, we encourage innovative thinking, intellectual curiosity, and diverse viewpoints to ensure we stay competitive in today&rsquo;s dynamic business environment.
At Guardian, we are dedicated to fostering and advancing a diverse and inclusive workforce.
Join us to discover what your best work truly looks like.</div>

Pharmacy Technician - Billing Specialist

Onco360

<div><div>We are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy in Buffalo, NY. This will be a Full-Time position. This position must be located within driving distance to our pharmacy, with a hybrid work style.</div>
<div></div><div>Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers.</div>
<div></div><div>Starting salary from $23.00 an hour and up</div> 
<div></div>
<div></div><div>We offer a variety of benefits including:</div>
<ul><li>Medical; Dental; Vision</li>
<li>401k with a match</li>
<li>Paid Time Off and Paid Holidays</li>
<li>Tuition Reimbursement</li>
<li>Company paid benefits &ndash; life; and short and long-term disability</li>
</ul><div>Pharmacy Adjudication Specialist Major Responsibilities:</div>
<div>The Pharmacy Adjudication Specialist will adjudicate pharmacy claims, review claim responses for accuracy. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections</div>
<div></div><div>Pharmacy Adjudication Specialists at Onco360...</div>
<ul><li>Practices first call resolution to help health care providers and patients with their pharmacy needs, answering questions and requests.</li>
<li>Provides thorough, accurate and timely responses to requests from pharmacy operations, providers and/or patients regarding active claims information..</li>
<li>Ensures complete and accurate patient setup in CPR+ system including patient demographic and insurance information.</li>
<li>Adjudicates pharmacy claims for prescriptions in active workflow for primary, secondary, and tertiary pharmacy plans and reviews claim responses for accuracy before accepting the claim.</li>
<li>Contacts insurance companies to resolve third-party rejections and ensures pharmacy claim rejections are resolved to allow for timely shipping of medications. Performs outreach calls to patients or providers to reschedule their medication deliveries if claim resolution cannot be completed by ship date and causes shipment delays</li>
<li>Ensures copay cards are only applied to claims for eligible patients based on set criteria such as insurance type (Government beneficiaries not eligible)</li>
<li>Manages all funding related adjudications and works as a liaison to Onco360 Advocate team.</li>
<li>Assists pharmacy team with all management of electronically adjudicated claims to ensure all prescription delivery assessments are reconciled and copay payments are charged prior to shipment.</li>
<li>Serves as customer service liaison to patients regarding financial responsibility prior to shipments, contacts patients to communicate any copay discrepancy between quoted amount and claim and collects payment if applicable.</li>
<li>Document and submit requests for Patient Refunds when appropriate.</li>
</ul><div>Pharmacy Adjudication Specialist Qualifications and Responsibilities...</div>
<div><ul><li>Education/Learning Experience
<ul><li>Required: High School Diploma or GED. Previous Experience in Pharmacy, Medical Billing, or Benefits Verification, Pharmacy Claims Adjudication</li>
<li>Desired: Associate degree or equivalent program from a 2 year program or technical school, Certified Pharmacy Technician, Specialty pharmacy experience</li>
</ul></li></ul><ul><li>Work Experience
<ul><li>Required: 1+ years experience in Pharmacy/Healthcare Setting or pharmacy claims experience</li>
<li>Desired: 3+ years experience in Pharmacy/Healthcare Setting or pharmacy claims experience</li>
</ul></li></ul><ul><li>Skills/Knowledge
<ul><li>Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills</li>
<li>Desired: Knowledge of Foundation Funding, Specialty pharmacy experience</li>
</ul></li></ul><ul><li>Licenses/Certifications
<ul><li>Required: Registration with Board of Pharmacy as required by state law</li>
<li>Desired: Certified Pharmacy Technician (PTCB)</li>
</ul></li></ul><ul><li>Behavior Competencies
<ul><li>Required: Independent worker, good interpersonal skills, excellent verbal and written communications skills, ability to work independently, work efficiently to meet deadlines and be flexible, detail-oriented, great time-management skills</li></ul></li></ul></div></div>

Pharmacy Claims Adjudication Specialist

MedScript LTC Pharmacy

Medscript LTC Pharmacy is looking for an Adjudication Specialist to add to our Billing Department. This person is responsible for the timely resolution of daily insurance rejections to ensure accurate adjudication of claims. Remote work environment is available upon successful completion of training. This position also qualifies for a $2,000 signing bonus!The available shift is:<ul><li>Monday - Friday: 10am - 6:30pm OR 11am - 7:30pm</li></ul>Primary Duties:<ul><li>Knowledge of long-term care pharmacy rules and regulations</li><li>Communication with insurance companies to obtain accurate overrides</li><li>Provide and maintain notification forms such as suggested alternatives, facility authorizations and non-covered</li><li>Understand and adhere to facility financial policies and communicate follow up with facility representatives</li><li>Send and maintain prior authorizations</li><li>Complete cost out requests</li><li>Input patient demographics including payer information for daily new admits &amp; re-admissions</li><li>Submit daily and cycle batches</li><li>Resolve rejected claims timely based on priority</li><li>Post completed batches</li><li>Consistent communication with Pharmacists regarding alternatives and interchanges</li><li>Knowledge of insurance formularies</li><li>Completion of insurance audits</li></ul>Miscellaneous Duties:<ul><li>Ability to work overtime if needed</li><li>Other duties as assigned</li></ul>Education:<ul><li>High School Diploma or equivalent required</li><li>Indiana Pharmacy Technician License or Technician In-Training License required</li></ul>Preferred Experience:<ul><li>Pharmacy</li><li>Knowledgeable in all major insurance carrier reimbursement guidelines</li><li>Experience with EMAR software</li><li>General understanding of Excel and Microsoft Programs</li><li>Experience with Cover My Meds portal</li></ul>Work Traits:<ul><li>Demonstrates proficiency in keyboarding /computer use</li><li>Intimate knowledge of federal and state pharmacy laws and guidelines</li><li>Self-motivation and the ability to work effectively in an independent environment</li><li>Provide quality customer service by being available for scheduled shifts. Includes arriving promptly and completing shifts as needed to meet demands of the department</li><li>Excellent communication and organizational skills by practicing active listening and seeking to understand others</li><li>Detail oriented</li><li>Works to deliver an expected volume of work, seeks operating efficiencies without sacrificing quality</li><li>Provides constructive feedback and is receptive to feedback from others</li><li>Upholds professional and ethical standards. Demonstrates departmental and organizational values including integrity, compassion, accountability, respect, and excellence</li><li>Keeps abreast of new developments and enhancements to systems, procedures, and products. Values learning and seeks out new learning and development opportunities</li><li>Uses good judgment when evaluating problems and makes appropriate decisions in a timely manner</li><li>Understands and adheres to departmental and organizational standards, policies, and processes as appropriate</li></ul>Job Type: Full-timeBenefits:<ul><li>401(k) matching</li><li>Dental insurance</li><li>Employee assistance program</li><li>Health insurance</li><li>Health savings account</li><li>Life insurance</li><li>Paid time off</li><li>Prescription drug insurance</li><li>Referral program</li><li>Vision insurance</li><li>Work from home</li></ul>Work Location: Hybrid remote in Noblesville, IN 46060

Pharmacy Claims Specialist (Adjudication)

Partnership Health Center

<div>Priority Application Date: April 13, 2026 by 5:00 PM (Mountain Time) 
 
Complete applications with required attachments received by the 'Priority Application Date' will be guaranteed consideration. The position will remain open until filled. 


This position will fill up to 20 hours per week. 


Located halfway between Yellowstone and Glacier National Parks and home to the University of Montana, Missoula is an academic center situated in an outdoor enthusiast&rsquo;s paradise. Depending on the season, you can hike, ski, fish, float rivers, ride mountain bikes, or just sit back and marvel at the surrounding scenery. Join us in scenic, sophisticated, and service-oriented Missoula! 
 
Partnership Health Center (PHC), 2019 and 2022 winner of the Employer of Choice Award for Missoula, and 2022 winner of the Montana Employer of Choice Award, offers impeccable, integrated services to over 18,000 individuals and families. A 14-site, Federally Qualified Health Center in Missoula County, PHC fulfills its mission through the provision of a full range of primary care services - medical, dental, behavioral health, and an on-site pharmacy with a dedication to attending to the social determinants of health. Please visit our website to see the amazing benefits you will receive by joining our team such as medical (no cost for employee), dental, and vision insurance, loan forgiveness, retirement plan contributions, and generous paid sick and vacation time. 


TO APPLY:
<ul><li>
Please complete all sections of the online application at partnershiphealthcenter.org/careers, even if a resume is submitted. A resume will not substitute for completing the work history section of the application.
</li><li>Please include with your email the following attachments: Cover Letter, copy of MT Pharmacy Technician License, BLS certification, and copy of valid MT Driver&rsquo;s License. Please address in your Cover Letter why you wish to work for PHC.</li><li>
Incomplete applications and applications without required attachments will be disqualified.</li></ul><div><div><div>

REQUIRED KNOWLEDGE, SKILLS, &amp; ABILITIES:

KNOWLEDGE: Considerable knowledge of medical terminology. Considerable knowledge of the legal aspects of the practice of pharmacy, PHC policy and mission, Medicare Part B and 340B pricing, special regulations pertaining to FQCHCs regarding prescribing and dispensing medication and PHC&rsquo;s record keeping systems. Considerable knowledge of business English, grammar, spelling and punctuation. Working knowledge of modern office practices and procedures. Working knowledge of the principles and practices of HIPAA compliance. Working knowledge of the PHC Corporate Compliance Guidelines.

SKILLS: Skill in computer data entry; skill in the use of a personal computer (word-processing, spreadsheet and in particular pharmacy computer programs preferably Pioneer).
ABILITIES: Ability to communicate effectively in the English language, orally and in writing. Ability to make accurate mathematical calculations. Ability to maintain confidentiality. Ability to work independently and make responsible decisions in accordance with established policies and procedures. Ability to establish and maintain effective working relationships with diverse individuals and groups. Ability to communicate with insurance companies for medication billing. Ability to work as a team member. 
</div></div> 
<div><div>MINIMUM QUALIFICATIONS:</div></div><div><div> 
EDUCATION: Requires P.T.C.B. certification as a Pharmacy Technician and Pharmacy Technician license issued by the State of Montana Board of Pharmacy; OR a Pharmacy Intern License. 

 
EXPERIENCE: None. 
 
SPECIAL REQUIREMENTS: This position requires immunizations or proof of immunity to certain infectious diseases and a TB test. New employees will be asked to volunteer vaccination status for required vaccines upon hire and will be offered assistance during hiring to receive necessary immunizations. Employees who have not received the vaccines required for their positions or who are unwilling to voluntarily provide vaccination status for required vaccines will receive a reasonable accommodation where such accommodation does not require an undue hardship or endanger the health or safely of any person. Subject to a criminal background check with fingerprinting.</div></div></div><div><div><div> 

DEFINITION: 
Responsible for filling medication orders, maintaining stock, and billing all appropriate third responsible parties for payment.</div></div><div><div> 
REPRESENTATIVE EXAMPLES OF WORK:</div></div><div><div> 
Facilitates proper billing of prescriptions through insurance plans. Maintains controls of the use of the 340B discount drugs used in the Medicare Part D prescription drug plans. 
 
Interprets prescription orders, enters data into the Pioneer pharmacy system, prints labels and receipts, identifies insurance company to be billed, submits on-line essential data, fills and labels medication and sets up for pharmacist inspection. 
 
Orders, receives and stocks drugs. Implements and maintains controls to monitor and control medication inventory. Controls separation of the four types of medication stock per regulations of a Federally Qualified Community Health Center (FQCHC).
 
 
Files new prescriptions and locates prescriptions for refills. Maintains prescription records in accordance with the laws of Montana and the Federal Government. Takes telephone requests for refills to be refilled or sent off for authorization by the provider.
 
 
Prepares daily logs and monthly reports for the pharmacy program and insurance billing. Participates in daily inventory of controlled substances. Maintains perpetual inventory of all medication; enters all incoming stock in the proper category; and restocks all prescriptions that are not picked up. 
 
Acts as liaison between primary care providers, pharmacy students, other employees and PHC patients with regard to all aspects of the drug delivery system unique to FQCHCs. 
 
Assists the Medication Assistance Program (MAP) coordinator with getting eligible PHC patients into the program.
 
 
Trains and develops other technicians, students and interns. 

 
OTHER DUTIES:

May collect payment and use cash register POS system. May help balance the POS system and troubleshoot errors for daily balance. 
 
Performs work-related tasks as assigned by the Pharmacy Technician Manager. 


SUPERVISION RECEIVED: Works under the general supervision of the PHC Pharmacy Technician Manager. All direct work filling prescriptions must be supervised by the Pharmacist on duty.

SUPERVISION EXERCISED: None.
WORKING RELATIONSHIPS: Has numerous contacts with PHC&rsquo;s Medical Director, Pharmacy Directors, physicians, mid-level providers, other staff, patients, pharmacy students, insurance companies and outside agencies for the purpose of giving/obtaining information and coordinating work efforts.</div></div></div><div><div><div> 

PHYSICAL/ENVIRONMENTAL DEMANDS:</div></div><div><div> 
The work is commonly performed in an office setting. The work is performed while walking or standing most of the time. Requires considerable typing and computer use. The position requires multitasking and intense mental concentration in a busy setting with distractions. The employee may risk exposure to communicable diseases. The job may require occasional medium lifting (21-50 lbs). This job may include regular nights and weekends, including Saturday clinic. This position is not eligible for remote work.</div></div></div></div>

Pharmacy Technician

Search 10000+ Pharmacy billing specialist jobs near you this April. New roles added regularly across leading industries. Apply today.

10000 pharmacy billing specialist jobs Near Me

Pharmacy Billing Specialist

Pharmacy Billing Specialist - Outpatient Specialty

Pharmacy Billing Specialist - Outpatient Specialty

Pharmacy Technician - Billing Specialist

Pharmacy Claims Adjudication Specialist

Pharmacy Claims Specialist (Adjudication)

Pharmacy Technician