Medical Billing Specialist

Job Description - Pharmacy Billing Specialist - Outpatient Specialty (2600019B) 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. The role also involves auditing hospital pharmacy billing, resolving claim rejections, and supporting medical bill audits. All tasks align with TGH’s mission, vision, and values. Responsibilities Verify insurance eligibility. Facilitate prior authorizations. Collaborate with third‑party payers and clinical offices. Work with patients and providers to ensure medication access. Assist with denial appeals and financial assistance. Audit hospital pharmacy billing and resolve claim rejections. Support medical bill audits. Qualifications Associate’s Degree in a relevant field. Two (2) years of experience in healthcare, retail, pharmacy, or billing. Experience may be considered in lieu of a degree. Primary Location Tampa Work Location TGH Main Campus 1, Tampa General Circle, Tampa, 33601 Eligibility for Remote Work Hybrid Remote Job Pharmacy 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 #J-18808-Ljbffr