Billing Supervisor

Guardian Pharmacy • Boise, ID

2d

About The Position

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 Boise, a member of the Guardian family of pharmacies, has an exciting opportunity for you to join our rapidly growing team in Boise, Idaho. Why Guardian Pharmacy of Boise ? 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. Support the team with all billing/collections functions and ensure they are performed in a timely and accurate manner. Ensure all relevant input is complete, accurate, and fully adjudicated to ensure margin is maximized. Responsible for the integrity of all batches and their timely posting. Handle escalated billing issues and make sure full customer satisfaction is reached for residents, responsible parties and facility staff. Work with other departments as it relates to billing and claims adjudication.

Requirements

• Work Ethic/Integrity – must possess intrinsic drive to excel coupled with values in line with company philosophy
• Leadership – ability to lead project teams to deadlines, while maintaining strong team orientation
• 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 both a strategic and functional level
• Team Oriented – ability to work effectively and collaboratively with all team members
• High School Diploma or GED required; Bachelor's Degree preferred
• Pharmacy Technician license/certification/registration (per state requirements); National Certification preferred (PTCB) may be required (pharmacy specific)
• 5+ years of related experience (advanced degree may substitute for experience); at least 3 years in high volume claims processing field
• Advanced computer skills; pharmacy operations system experience preferred/required
• Ability to work independently and deliver to deadlines
• Ability to solve problems with minimal direction
• 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 when something appears inaccurate

Responsibilities

• Manage billing, A/R, and collection functions to ensure high level of customer service is maintained; manage productivity to metrics to include production & error rates
• Supervise team members, to include: hiring, training, evaluating, scheduling, coaching, disciplining, etc.
• Lead team in development and ongoing updates for all operations training manuals to assist in new employee training process; ensure written policies and procedures are maintained and updated for each area/function
• Assist in month end close processes, including statement prep, analysis reports, etc.
• Provide analysis of operational reports such as unbilled revenue; provide detailed explanation of variances and corrections
• Lead and participate in regular team meetings for direct reports and coordinate multi-department meetings to ensure good communication and issue resolution; participate and lead discussions as requested for operational meetings
• Serve as subject matter expert on all department operating systems and programs, including QS/1, DocuTrack, banking software, and others, in order to provide assistance and analysis to department
• Ensure all claims are adjudicated and batches composited and/or posted in a timely manner
• Ensure the PA/rejection queue is updated and resolved in a timely manner
• Quality check all patient and insurance information data entered in the system
• Have a thorough working knowledge of all department functions in order to assist/support clearing bottlenecks in workflow and ensuring the most efficient processes are followed
• Assist in answering phones and providing customer service
• Provide customer account audits when occasions arise
• Become cross trained in all areas of department function so as to assist in clearing bottlenecks in work flow
• Lead by example in all areas of role and supporting the non-negotiable attributes: attitude, dependability, commitment, productivity, efficiency and upholding policies and procedures
• Other essential functions and duties may be assigned as needed

Benefits

• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED