Remote Pharmacist | Montana

Pharmacy Billing & Reimbursement Specialist

A remote opportunity is available for a Pharmacy Billing & Reimbursement Specialist based in Montana, offering a temp-to-hire position with consistent hours from 8 AM to 5 PM or 7 AM to 4 PM MST. This role supports home infusion pharmacy billing within a nonprofit healthcare organization dedicated to providing high-quality, patient-centered home health and hospice services throughout Western Montana.

Key Responsibilities:

• Accurately process and submit home infusion pharmacy claims in a high-volume, metrics-driven environment.
• Manage the full billing lifecycle: charge entry, claims submission, follow-up, and resolution of denied or rejected claims.
• Utilize CareTend software to support billing workflows, documentation, and reimbursement tracking.
• Review payer requirements to ensure compliant billing of infusion therapies, supplies, and related services.
• Investigate and resolve billing discrepancies, denials, and reimbursement challenges promptly.
• Communicate effectively with payers, patients, and internal teams to maintain accurate and complete billing information.

Qualifications:

• Minimum of 2 years' experience in home infusion billing and claims processing.
• Proficiency in CareTend software is required.
• Strong attention to detail and ability to operate efficiently in a metrics-driven environment.
• Excellent communication and problem-solving skills.

Location:

• Remote position; candidate must be Montana-based.

This role provides an excellent opportunity to join a mission-driven organization focused on enhancing patient independence and quality of life through home-based healthcare services. The temp-to-hire nature of the position allows for growth and long-term career opportunities.

Qualified candidates are encouraged to apply for consideration and take the next step in their professional journey with a dedicated healthcare provider committed to community care.