Pharmacy Technician - Billing Supervisor

Guardian Pharmacy Services ManagementPhoenix, AZ
Onsite

About The Position

Saliba’s Extended Care Pharmacy, a member of the Guardian family of pharmacies, has an exciting opportunity for you to join our rapidly growing team in Phoenix, Arizona. 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
  • 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

Nice To Haves

  • Bachelor's Degree preferred
  • National Certification preferred (PTCB) may be required (pharmacy specific)
  • 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 maximize margin.
  • Responsible for the integrity of all batches and their timely posting.
  • Handle escalated billing issues and ensure full customer satisfaction 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 a 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 the 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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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Education Level

High school or GED

Number of Employees

11-50 employees

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