Pharmacy Technician - Billing Supervisor

Guardian PharmacyPhoenix, AZ
Onsite

About The Position

Saliba’s Extended Care Pharmacy, a member of the Guardian family of pharmacies, is a rapidly growing team in Phoenix, Arizona. The company is focused on reimagining medication management and transforming care by delivering customized medication management solutions to healthcare organizations serving seniors and individuals with complex care needs. They offer a comprehensive suite of tech-enabled pharmacy services and a dedicated team committed to enriching the lives of those they serve. This role provides an opportunity to learn and grow in a fast-paced, diverse, and inclusive environment for individuals seeking a challenging, team-oriented position. This is a salary position with an annual bonus, scheduled Monday – Friday, 9:00 AM – 5:30 PM, and is located at Saliba’s Pharmacy – 925 E Covey Lane, Phoenix, AZ 85024. The Billing Supervisor will support the team with all billing and collections functions, ensuring timely and accurate performance. Key aspects include maximizing margin through complete and accurate input, ensuring the integrity and timely posting of all batches, handling escalated billing issues to achieve full customer satisfaction for residents, responsible parties, and facility staff, and collaborating with other departments on billing and claims adjudication.

Requirements

  • High School Diploma or GED required
  • Pharmacy Technician license/certification/registration (per state requirements)
  • 5+ years of related experience
  • At least 3 years in high volume claims processing field
  • Advanced computer skills
  • 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
  • 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

Nice To Haves

  • Bachelor's Degree preferred
  • National Certification preferred (PTCB)
  • Pharmacy operations system experience preferred/required

Responsibilities

  • 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.
  • 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

  • Competitive pay
  • 401(k) with up to 3.5% company match
  • Multiple health plan options including copay (FSA-eligible) and HSA eligible plans
  • Wellness Incentive Program
  • Dental and Vision plans
  • Company-paid basic life, AD&D and long-term disability coverage
  • Optional employee, spouse, and child life/AD&D insurance
  • Optional accident, critical illness, and short-term disability coverage
  • Dependent Care Flexible Spending Accounts
  • Employee Assistance Program (EAP)
  • Paid holidays and sick days
  • Generous vacation benefits based on years of service
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