Pharmacy Business Office Specialist (21427)

Cantex Continuing Care Network•Addison, TX

11d•Onsite

About The Position

The Pharmacy Business Office Specialist supports daily pharmacy billing and revenue cycle operations by preparing, verifying, correcting, and submitting electronic insurance claims in accordance with state, federal, and payor requirements. This role ensures accurate posting of payments, timely resolution of billing discrepancies, and proper maintenance of accounts receivable and related financial documentation. The position may also assist with clerical, receptionist, and general business office functions to support smooth pharmacy operations. This role is ideal for a detail‑oriented billing professional with experience in pharmacy, healthcare, or medical claims processing who thrives in a fast‑paced environment and is committed to accuracy, compliance, and exceptional service.

Requirements

High school diploma required; college coursework or a degree in office administration or business preferred
Minimum 2 years of experience in a business office, pharmacy billing, medical billing, payment posting, or collections environment preferred
Strong computer literacy and ability to learn new systems
Proficiency in math, data entry, and written communication
Ability to manage multiple tasks in a fast‑paced, deadline‑driven environment
Ability to read, write, and speak the English language fluently

Responsibilities

Register patients in the pharmacy patient accounting system and assign appropriate payor types
Review claims for accuracy, perform required edits, and submit or rebill claims electronically to ensure timely filing and payment
Request additional information from patients, insurance carriers, pharmacy staff, and internal departments to resolve claim issues
Post payments and adjustments to patient or facility accounts using correct payment/adjustment codes
Update payor information, change payor types, and adjust account priorities to ensure accurate posting
Prepare and maintain accounts payable, accounts receivable, and payroll documentation
Prepare and deliver bank deposits
Compile daily, weekly, and monthly reports as required by the Supervisor, Manager, or Director of Pharmacy
Answer incoming calls promptly and professionally
Maintain inventory of office supplies, forms, and administrative materials
Maintain knowledge of billing regulations, payor guidelines, and compliance requirements
Adhere to internal controls, state/federal laws, accreditation standards, and health plan requirements
Participate in Business Office and Pharmacy meetings
Seek guidance as needed to ensure accurate understanding of billing processes and regulations
Ensure patient and resident safety at all times
Perform other duties as assigned