Pharmacy Technician - Billing Specialist
About the role
Boomer Solutions of Tulsa, a member of the Guardian family of pharmacies, is seeking a dedicated individual to join our team in Tulsa, Oklahoma. We are reimagining medication management and transforming care for healthcare organizations serving seniors and individuals with complex care needs.
Responsibilities
- Process customer bills and insurance claims accurately and in a timely manner
- Assist with daily and month-end billing functions, procedures, and reporting
- Provide excellent customer service to patients, caregivers, medical providers, and insurance carriers
- Research and establish patient eligibility coverage with insurance providers
- Reverify benefit coverage criteria as needed for claims follow-up
- Maintain and audit patient files and corresponding documentation
- Enter and update patient/insurance information into billing system
- Respond to billing customer inquiries via phone or electronic communications
- Resolve patient billing issues regarding insurance eligibility, coverage, and related benefits
- Run Medicare plan comparisons during open enrollment and special enrollment periods
- Evaluate options to save resident money
- Process patient payments, returns, and credits
- Transmit individual credit card payments as needed
- Pursue payment from delinquent accounts and make payment arrangements
- Organize requested audit documentation in a timely manner
- Perform prescription claims adjudication, communicate with insurance companies, and resolve issues
- Develop knowledge and understanding of pharmacy facility billing requirements
- Rotate through other departments to gain working knowledge of workflows
- Follow applicable government regulations including HIPAA
- Work as a collaborative team member to meet service goals
Requirements
- High School Diploma or GED
- Pharmacy Technician license/certification/registration per state requirements; National Certification preferred (PTCB)
- 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
- Able 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
Qualifications
- Education and certifications: High School Diploma or GED required. Pharmacy Technician license/certification/registration per state requirements; National Certification preferred (PTCB).
- Skills: Advanced computer skills; pharmacy information system experience preferred. Ability to work independently and deliver to deadlines. Great attention to detail and accuracy. Able 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.
Benefits
Guardian offers a comprehensive Total Rewards package, including competitive pay, 401(k) with company match, family, health & insurance benefits, medical, dental and vision health savings accounts and flexible spending accounts, company-paid basic life and accidental death & dismemberment, dependent life, accident and critical illness, dependent care flexible spending accounts, wellbeing employee assistance program (EAP), Guardian Angels (employee assistance fund), generous vacation benefits based on years of service, and more.
Pay
Competitive pay
Schedule
Flexible hours