Billing Technician

Job Description

Job Description

Value Specialty Pharmacy

At Value Drug Company, we believe independent pharmacy matters. As a specialty pharmacy backed by a trusted independent pharmaceutical wholesaler, we are passionate about helping patients access the medications and support they need while providing exceptional service to the pharmacies and communities we serve.

We are currently seeking a dedicated and detail-oriented Billing Technician to join our growing specialty pharmacy team. This role is ideal for someone who is dependable, organized, and able to work independently while staying connected and collaborative within a hybrid work environment.

If you enjoy solving problems, navigating complex insurance processes, and making a meaningful impact behind the scenes of patient care, we would love to hear from you.

As a Billing Technician, you will play a critical role in supporting reimbursement operations and ensuring accurate, timely claim processing for specialty pharmacy services. Responsibilities include:

• Gathering information from patients, pharmacies, and insurance companies to process claims accurately
• Verifying insurance eligibility and payer information
• Preparing and submitting clean claims to commercial insurers, Medicare Part D, and Medicaid
• Managing coordination of benefits (COB) and secondary billing processes
• Researching and resolving claim denials and reimbursement issues
• Reviewing clinical documentation for Medicare compliance
• Identifying and validating ICD-10 and HCPCS codes as appropriate
• Reconciling payer payments, adjustments, and credits
• Reviewing EOBs and following up on outstanding claims
• Supporting manufacturer reporting and reimbursement tracking
• Assisting with patient financial assistance programs and foundations
• Collaborating with pharmacy staff to ensure prescriptions are reconciled and paid prior to delivery
• Building positive working relationships with payer representatives
• Protecting patient confidentiality and maintaining HIPAA compliance
• Participating in audits and reimbursement-related projects as needed

We are looking for someone who is:

• Reliable, accountable, and highly organized
• Comfortable working independently in a hybrid work setting
• Able to manage multiple priorities and deadlines in a fast-paced environment
• Detail-oriented with strong analytical and problem-solving skills
• Professional and compassionate when communicating with patients, pharmacies, and insurance representatives
• Adaptable and willing to learn in an evolving specialty pharmacy environment

• Retail pharmacy experience and/or medical or pharmacy billing experience
• Knowledge of insurance procedures, billing requirements, and reimbursement processes
• Familiarity with Medicare, Medicaid, commercial insurance, and coordination of benefits
• Strong customer service and telephone communication skills
• Proficiency with computers, email, and office software systems

This position operates in a fast-paced office environment with frequent phone and electronic communication. The role follows a hybrid work model and requires the ability to work both independently and collaboratively with the team.

At Value Drug Company, you’ll be part of a mission-driven organization that supports independent pharmacy and patient care across the communities we serve. We value teamwork, reliability, professionalism, and people who are committed to doing meaningful work every day.

We offer a supportive culture, opportunities for growth, and the chance to make a real difference in patients’ lives.