Billing Supervisor

Guardian Pharmacy•St. Cloud, MN

2d•$25 - $27•Onsite

About The Position

Guardian Pharmacy of Minnesota, a member of the Guardian family of pharmacies, has an exciting opportunity for you to join our rapidly growing team in Sauk Rapids, Minnesota. We’re reimagining medication management and transforming care. 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.

Requirements

High school diploma or GED required
Five or more years of related billing, accounts receivable, collections, or claims experience
At least three years of experience in a high-volume claims processing environment.
Advanced computer skills
Working knowledge of billing, accounts receivable, collections, and claims adjudication processes.
Strong analytical and problem-solving abilities with the judgment to resolve issues with minimal direction.
Excellent attention to detail and commitment to accuracy and quality.
Ability to analyze reports, identify discrepancies, and implement appropriate corrective actions.
Strong organizational and time-management skills with the ability to manage multiple priorities and deadlines.
Ability to work independently while collaborating effectively across departments.
Strong written and verbal communication and customer-service skills.
Ability to thrive in a fast-paced, team-oriented environment.

Nice To Haves

Bachelor's degree preferred
An advanced degree may substitute for a portion of the experience requirement.
Previous supervisory or team leadership experience strongly preferred.
Experience with pharmacy operating systems preferred.
Pharmacy Technician license, certification, or registration may be required based on state and pharmacy requirements.
National Pharmacy Technician Certification through PTCB preferred and may be required for certain pharmacy locations.

Responsibilities

Supervise billing, accounts receivable, and collections activities to ensure accuracy, timely completion, and a high level of customer service.
Manage team productivity and performance against established metrics, including production volume and error rates.
Hire, train, schedule, coach, evaluate, and develop team members; address performance or disciplinary matters as needed.
Ensure all claims are adjudicated and billing batches are completed and posted accurately and on time.
Monitor prior authorization and rejection queues and ensure outstanding items are researched and resolved promptly.
Review patient, insurance, and billing information for completeness and accuracy.
Analyze operational reports, including unbilled revenue, and provide explanations of variances and required corrections.
Assist with month-end close activities, including statement preparation, reporting, and account analysis.
Handle escalated billing and account issues and work toward satisfactory resolution for residents, responsible parties, and facility customers.
Conduct customer account audits as needed.
Serve as a subject matter expert on department systems and applications, including QS/1, DocuTrack, banking software, and other relevant programs.
Maintain a thorough understanding of all department functions and provide hands-on support to eliminate workflow bottlenecks.
Lead the development and ongoing maintenance of training manuals, policies, and procedures for each billing function.
Conduct regular team meetings and coordinate cross-functional discussions to improve communication and resolve operational issues.
Collaborate with other departments on billing, claims adjudication, and customer account matters.
Assist with incoming calls and customer service needs when necessary.
Become cross-trained in all department functions to provide coverage and operational support.
Lead by example by demonstrating a positive attitude, dependability, commitment, productivity, efficiency, and adherence to company policies and procedures.
Perform other essential duties as assigned.