Pharmacy Billing Specialist
Guardian Pharmacy
- # Pharmacy Billing SpecialistApplyremote type: On-Sitelocations: Orlando, Floridatime type: Full timeposted on: Posted Todayjob requisition id: R15907Orlando, Florida, United States of America**Extraordinary Care. Extraordinary Careers.****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 Orlando, a member of the Guardian family of pharmacies, has an exciting opportunity for you to join our rapidly growing team in Orlando, Florida.**Why Guardian Pharmacy of Orlando? We’re reimagining medication management and transforming care.****Who We Are and What We’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 8:30-5pm; Departement hours are 7am-7:00pm. So if there is a coverage issue the above hours might alter. Also at end of billing cycle each month some extended hours and occasional weekend**This role will be performed ***onsite*** at a **closed-door pharmacy** in Orlando, FL. **All patient interactions will be over the phone.*** Comprehensive training provided side by side with training team.* Must be comfortable working in a high-volume environment.* Must be registered with the Florida Pharmacy Board Registry.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:*** 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.* Problem Solving – ability to analyze causes and solve problems at functional level.* Team Oriented – ability to work effectively and collaboratively with all team members.**ESSENTIAL JOB FUNCTIONS (include the following):*** 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.* 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 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.* 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)* 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.* Rotate through other departments to gain working/functional knowledge of other department workflows.* Follow all applicable government regulations including HIPAA.* Work as a collaborative team member to meet the service goals of the pharmacy.* Other essential functions and duties may be assigned as needed.**EDUCATION AND/OR CERTIFICATIONS:*** High School Diploma or GED required.* Pharmacy Technician license/certification/registration per state requirements; National Certification preferred (PTCB) may be required (pharmacy specific).**SKILLS AND QUALIFICATIONS:*** 1+ years of related experience* Advanced computer skills; pharmacy information system experience preferred.* Ability to work independently and deliver to deadlines.* Great attention to detail and accuracy* Ability to excel in a fast-paced, team-oriented environment working on multiple tasks simultaneously, while adhering to strict deadlines* Quality minded; motivated to seek out errors and inquire about inaccuracies.* Collections experience preferred**WORK ENVIRONMENT:** The work environment characteristics described here are representative of those an employee encounters while performing the job.* 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.**What We Offer:***Guardian provides employees with a comprehensive Total Rewards package, supporting our core value of, “Treat others as you would like to be treated.” Compensation & Financial** *Competitive pay** *401(k) with company match*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 Basic Life and Accidental Death & Dismemberment** *Company-paid Long-Term Disability and optional Short-Term Disability** *Voluntary Employee and Dependent Life, Accident and Critical Illness** *Dependent Care Flexible Spending Accounts**Wellbeing** *Employee Assistance Program (EAP)** *Guardian Angels (Employee assistance fund)**Time Off** *Paid holidays and sick days** *Generous vacation benefits based on years of service***The Guardian Difference**Our clients require pharmacy services that aren’t “cookie cutter.” That’s why every Guardian pharmacy is locally operated and empowered with the autonomy to tailor their business to meet their clients’ 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’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.**
- J-18808-Ljbffr Guardian Pharmacy
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Pharmacy Billing Specialist in Orlando, FL vacancy
- ...Billing Clerk Job Description Are you ready to take the next step in your billing career? Vaco by Highspring can serve as your advocate, presenting you to top clients seeking Billing Specialists. Our recruiting team provides you with an advantage over the competition...SuggestedFull time
Vaco by Highspring
Orlando, FL3 days ago - ...Billing SpecialistCarlton Fields is seeking a Billing Specialist for its Miami office.Position SummaryThe Billing Specialist assists attorneys with the accurate and efficient preparation of bills for clients, ensuring that the client invoices are processed timely and...SuggestedWork at office
Carlton Fields
Orlando, FL1 day ago - ...Billing SpecialistTitle: Billing SpecialistDuration: 4+ monthsLocation: Orlando FL 3281... ....m.Job DescriptionRequires 1-3 years of Pharmacy billing, data management, and customer service... .... Solomon Experience needed.Billing Specialist will work in the mail order line of...SuggestedShift work
Careers Integrated Resources Inc
Orlando, FL5 days ago - CorVel Corporation's CareIQ Billing Specialist role is a remote position designed for candidates residing in Eastern or Central time zones. The specialist completes invoicing processes for CareIQ Ancillary Healthcare services, reviews vendor and provider bills, determines...SuggestedRemote work
CorVel
Orlando, FL4 days ago - ...We’re now hiring a Billing Specialist at Solaris. The role oversees Medicaid eligibility for clients seeking financial assistance and ensures compliance with state and federal guidelines. The specialist works closely with Admission Intake and Business Development teams...SuggestedWork at officeImmediate start
Solaris HealthCare
Orlando, FL1 day ago - ...Billing SpecialistThe ideal candidate will have a minimum of two years of billing experience within a law firm environment. This individual must be a proactive self-starter with strong organizational skills and the ability to manage multiple tasks and projects simultaneously...Work at officeRemote work
Baker Donelson
Orlando, FL3 days ago - ...data entry, and invoicing processes across projects. Responsibilities include reviewing contracts, managing timesheets, expenses, and billing cycles, ensuring compliance with company policies and client terms. Strong communication and organizational skills are essential...Contract work
Geosyntec Consultants
Orlando, FL1 day ago - ...basic transactional processes. This role involves processing billing transactions with precision, ensuring accuracy, and handling a... ...transactions. The position offers an opportunity to assist senior specialists with more complex tasks and contributes to the smooth...
Walgreens
Orlando, FL2 days ago $15.61 - $23.82 per hour
...Job Description Job Description The CareIQ Billing Specialist completes invoicing processes for all CareIQ Ancillary Healthcare services... ...full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account...Hourly payMinimum wageFull timeWork experience placementWork at officeLocal areaRemote workFlexible hoursCorVel Healthcare Corporation
Orlando, FLa month ago- A healthcare provider in Orlando is seeking a Billing Specialist responsible for overseeing Medicaid eligibility for clients. The role entails filing applications in compliance with guidelines, assisting in applicants' interviews, and determining their eligibility status...Work at office
- ...along with the opportunity to work within an innovative and collaborative environment.**Join our Revenue Management Team as a Billing Specialist located in our Orlando office.**We are seeking a highly skilled professional who thrives in a fast-paced, deadline-driven...Work at officeImmediate startFlexible hours
$55k - $65k
Salary Range: $55,000-$65,000 (based on experience) Overview A well‑established law firm is seeking an experienced Legal Billing & Accounting Specialist to support daily financial and administrative operations. This role is billing‑focused, with additional responsibility...Work at office- Foley & Lardner LLP is seeking a Legal Billing Coordinator to manage complex attorney billing across all departments. The role faces tight deadlines, requires attention to detail, and multi-tasking for high-volume billing. You will interact with attorneys, assistants, and...
$60k - $75k
The Problem Our customer base is expanding, increasing the volume of complex billing, invoicing, and account inquiries. Expanding our reach creates a need for clear operational alignment between front-line customer advocacy and back-end financial processes. You'll take...Contract workWork at officeRemote workGrabJobs
Orlando, FL13 hours ago- Billing Specialist II Requires 1-3 years of Pharmacy billing, data management, and customer service experience Careers Integrated Resources Inc
- ...Billing Specialist Carlton Fields is seeking a Billing Specialist for its Miami office. Position Summary The Billing Specialist assists attorneys with the accurate and efficient preparation of bills for clients, ensuring that the client invoices are processed...Work at officeFlexible hours
$103k - $147.14k
...Description Clinical Pharmacist--Prior Authorization (Montvale NJ & Orlando FL) EmpiRx Health is the leading clinically-driven pharmacy benefits management company. As the pioneer in value-based pharmacy care, EmpiRx Health puts its customers and members first by...Work at officeEmpiRx Health, LLC
Orlando, FL4 days ago- ...neurodiversity to the enterprise. Job Summary - We are looking for a Billing & Accounts Receivable Manager ready to take us to the next... ...**: * Lead, mentor, and develop a team of Billing and AR specialists to achieve departmental goals * Assign tasks and...Full timeWork at officeRemote workWorldwide
PLANNER DEPOTS
Orlando, FLa month ago - Accounting ClerkOrlando, Florida, United StatesAt Morgan & Morgan, the work we do matters. For millions of Americans, we're their last line of defense against insurance companies, large corporations or defective goods. From attorneys in all 50 states, to client support...Full timeWork at officeLocal area
Morgan & Morgan
Orlando, FL5 days ago - Job Description & Essential Functions of the Accounting Clerk (Mandarin Speaker) Job Description: The Accounting Clerk will be responsible for maintaining Company financial transactions by providing Finance support in the areas of AR/AP and other related areas. The Accounting...Flexible hours
Absen Inc
Orlando, FL4 days ago - A prominent law firm in Orlando, FL is seeking a Client E-Billing Representative to handle billing functions, including time transfers and e-billing management. The role involves coordinating electronic billing and preparing final invoices for clients. Candidates need a...
$15 per hour
Job Description Job Description We're Hiring: Entry-Level Accounting Clerk Ready to kick-start your career in accounting? We're looking for an enthusiastic, detail-oriented Accounting Clerk to join our team in our Downtown Orlando office! Starting Pay...Full timeWork at officeMonday to FridayFlorida Corporation
Orlando, FL11 days ago- ...management procedures. Demonstrates an understanding of the hospital mission, personnel policies, philosophy, goals and objectives of Pharmacy and Orlando Health. Demonstrates familiarity with the general duties of the Pharmacy department. Demonstrates the ability to...Full timeShift work
$50.49 - $93.91 per hour
...interdisciplinary rounds, ensuring smooth transitions of care from admission through discharge and follow‑up. Supervise, mentor, and evaluate pharmacy technicians, interns, students, and residents; support team learning and development. Identify, report, and help resolve...Full timeWork experience placementLocal areaMonday to FridayShift work$50.49 - $93.91 per hour
...interdisciplinary rounds, ensuring smooth transitions of care from admission through discharge and follow‑up. Supervise, mentor, and evaluate pharmacy technicians, interns, students, and residents; support team learning and development. Identify, report, and help resolve...Full timeWork experience placementLocal area$50.49 - $93.91 per hour
...interdisciplinary rounds, ensuring smooth transitions of care from admission through discharge and follow‑up. Supervise, mentor, and evaluate pharmacy technicians, interns, students, and residents; support team learning and development. Identify, report, and help resolve...Full timeWork experience placementLocal areaShift workNight shift- ...Stark Tech in Orlando, FL is seeking a Service Coordinator to provide administrative support to the service department, handling billing, contracts, work orders, and customer accounts. This role focuses on accuracy, timeliness, and strong client interaction. The successful...
StarkTech LLC Defunct
Orlando, FL4 days ago $19.23 - $30.77 per hour
Benefits Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance Paid Time Off from Day One 403-B Retirement Plan 4 Weeks 100% Paid Parental Leave Career Development Whole Person Well-being Resources Mental Health Resources and Support...Full timeWork experience placementLocal areaShift workAdventHealth
Orlando, FL2 days ago- ...Coordinator will be responsible for providing administrative support to the service department. This includes administering and managing T&M billing, service agreements, contract renewals, works orders, service reports, and customer accounts.Work ExperienceAssociates Degree or...Contract workWork experience placement
StarkTech LLC Defunct
Orlando, FL1 day ago - ...uniform dry cleaningWhat We're Looking For:A detail‑driven and service‑oriented professional who supports the full lifecycle of group billing with accuracy, consistency, and care. This role plays a key part in ensuring clients receive timely, complete, and professional...Work at officeLocal areaShift work
Loews Hotels
Orlando, FL4 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Pharmacy Billing Specialist. Be the first to apply!
Related searches
- billing associate Orlando, FL
- billing administrator Orlando, FL
- billing coordinator Orlando, FL
- billing clerk Orlando, FL
- billing representative Orlando, FL
- construction billing specialist Orlando, FL
- medical billing clerk Orlando, FL
- accounting officer Orlando, FL
- invoicing clerk Orlando, FL
- billing assistant Orlando, FL