Pharmacy Technician

Guardian Pharmacy • Englewood, CO

9d • $23 - $26 • Onsite

About The Position

Guardian Pharmacy of Englewood is seeking 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, and provides customer service to patients, caregivers, medical providers, and insurance carriers. The position works with insurance eligibility and coverage, patient records, billing issues, claims adjudication, payments, audits, and facility billing requirements. It also requires proficiency with pharmacy information systems and compliance with applicable regulations, including HIPAA.

The position is based at Guardian Pharmacy, 8599 Prairie Trail, Englewood, Colorado 80112. The schedule is Monday through Friday, with variable hours between 8:00 AM and 7:00 PM and no regular weekend hours. The stated pay range is $23.00–$26.00 per hour, based on experience. Previous pharmacy billing experience is preferred.

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 a pharmacy information system.
• 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 adhering to strict deadlines.
• Quality-minded approach, including willingness to identify errors and inquire about inaccuracies.
• Ability to build relationships, plan and manage time, solve functional problems, and work collaboratively.
• Ability to interact effectively with others in an office environment, manage conflict, and handle stressful situations and deadlines.

Nice To Haves

• Previous pharmacy billing experience.
• National Pharmacy Technician Certification Board (PTCB) certification; may be required for specific pharmacies.

Responsibilities

• Research and establish patient eligibility and insurance coverage, reverify benefits as needed, and enter or 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 by phone or electronic communication and research and resolve issues involving eligibility, coverage, and benefits.
• Run Medicare plan comparisons during open and special enrollment periods and review patient profiles, drug regimens, and insurance coverage to identify potential savings.
• Complete daily census, admission, discharge, and room-change updates for assigned facilities.
• Process patient payments, returns, and credits, including transmitting individual credit card payments as needed.
• Pursue payment from delinquent accounts and arrange payment plans when appropriate.
• Research, identify, and organize requested audit documentation promptly.
• Adjudicate prescription claims and communicate with insurance companies about rejected claims, eligibility, prior authorizations, and other issues; make corrections and rebill claims as needed.
• Demonstrate knowledge of pharmacy facility billing requirements, including Medicare, Medicaid, prescription drug plans, and third-party insurance, as well as functional knowledge of other pharmacy departments.
• Use pharmacy information systems to process prior authorizations, resolve rejections, produce reports, and complete billing functions accurately and promptly.
• Meet established pharmacy accuracy and productivity levels.
• Follow applicable government regulations, including HIPAA.
• Collaborate with team members to meet pharmacy service goals and perform other assigned duties.

Benefits

• Competitive pay.
• 401(k) with company match.
• Medical, dental, and vision coverage for eligible 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.
• Employee assistance fund (Guardian Angels).
• Paid holidays and sick days.
• Vacation benefits based on years of service.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED