Pharmacy Technician

Guardian Pharmacy Services Management•Denver, CO

7d•Onsite

About The Position

Guardian Pharmacy of Englewood is hiring a Pharmacy Technician to process customer bills and insurance claims accurately and promptly. The role supports daily and month-end billing functions, procedures, and reporting, while providing customer service to patients, caregivers, medical providers, and insurance carriers. The technician researches insurance eligibility and coverage, maintains patient and payer documentation, resolves billing issues, processes payments and credits, and adjudicates prescription claims. The role also supports Medicare plan comparisons and reviews patient profiles, drug regimens, and insurance coverage to identify cost-saving options. This position works in an office environment and requires desk work, effective collaboration, and the ability to manage conflict, stressful situations, and deadlines. The schedule is Monday through Friday, with variable hours between 8:00 AM and 7:00 PM. The listed pay range is $23.00–$26.00 per hour, based on experience.

Requirements

High school diploma or GED.
Pharmacy Technician license, certification, or registration as required by state requirements.
At least 2 years of related experience, including at least 6 months of billing experience in a long-term care or retail setting.
Advanced computer skills and experience with pharmacy information systems.
Ability to work independently and meet deadlines.
Strong attention to detail and accuracy.
Ability to manage multiple tasks in a fast-paced, team-oriented environment while meeting strict deadlines.
Quality-minded approach, including willingness to identify errors and investigate inaccuracies.
Ability to work flexible hours.
Ability to work effectively with others in an office environment and manage conflict, stressful situations, and deadlines.

Nice To Haves

Previous pharmacy billing experience.
National Pharmacy Technician Certification (PTCB); may be required for a specific pharmacy.

Responsibilities

Research and establish patient eligibility and coverage with private and government insurance providers, and reverify benefit criteria as needed.
Enter and update patient and insurance information in billing and pharmacy systems.
Maintain and audit patient files and documentation to support third-party audits and payer and company compliance.
Respond to billing inquiries from customers by phone or electronic communication and research and resolve billing issues.
Provide guidance to residents or responsible parties by running Medicare plan comparisons during open and special enrollment periods.
Review patient profiles, drug regimens, and insurance coverage to identify options for reducing resident costs.
Complete daily census, admission, discharge, and room-change tasks for assigned facilities.
Process patient payments, returns, and credits; transmit individual credit card payments as needed; and pursue delinquent payments or arrange payment plans when appropriate.
Research and organize requested audit documentation in a timely manner.
Adjudicate prescription claims, communicate with insurers about rejected claims, eligibility, prior authorizations, and other issues, and correct and rebill claims as needed.
Use pharmacy information systems to process prior authorizations, resolve rejections, produce reports, and complete billing functions accurately and on time.
Meet established accuracy and productivity levels and follow applicable government regulations, including HIPAA.
Collaborate with pharmacy team members to meet service goals and perform other assigned duties.

Benefits

Competitive pay.
401(k) with company match.
Medical, dental, and vision coverage for full-time employees working 30 or more hours per week.
Health Savings Accounts and Flexible Spending Accounts.
Company-paid basic life and Accidental Death & Dismemberment insurance.
Company-paid long-term disability and optional short-term disability.
Voluntary employee and dependent life, accident, and critical illness coverage.
Dependent Care Flexible Spending Accounts.
Employee Assistance Program.
Guardian Angels employee assistance fund.
Paid holidays and sick days.
Vacation benefits based on years of service.