Regional Billing Specialist

Guardian Pharmacy•Gainesville, VA

33d

About The Position

Extraordinary Care. Extraordinary Careers. With one of the nation’s largest, most innovative long-term care pharmacy services providers, there is no limit to the growth of your career. Southern Pharmacy Services, a member of the Guardian family of pharmacies, has an exciting opportunity for you to join our rapidly growing team in Kernersville, North Carolina. Why Southern Pharmacy Services? We’re reimagining medication management and transforming care. Who We Are and What We’re About: 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. Regional Billing Specialist Works directly with the Regional Billing Lead and Regional Billing Manager to execute various billing tasks for each of the pharmacy locations. Assisting in audit compliance, vaccine billing, Medicare open enrollment, ancillary billing charges, cost comparisons and other billing-related tasks. Schedule Needed: Monday - Friday 8:00am-5:00pm Attributes Required: Work Ethic/Integrity – must possess intrinsic drive to excel coupled with values in line with company philosophy 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 with minimal direction Team Oriented – ability to work effectively and collaboratively with all team members Detail Oriented – ability to provide attention to detail Organizational – ability to organize work around multiple priorities and deadlines

Requirements

High School diploma required, college degree in business preferred
Pharmacy Technician registration required; National Certification preferred (PTCB)
Excellent computer skills, including MS Office (Excel, Word, Teams)
Excellent verbal and written communication skills; professional demeanor
Strong attention to detail and analysis skills
Ability to maintain confidentiality at all levels
Ability to work to deadlines and balance multiple priorities
Strong work ethic and desire to excel
Pharmacy experience required
FrameworkLTC and FrameworkECM experience required
Strong knowledge of 3rd party insurance requirements

Nice To Haves

Collections and Adjudication experience preferred
Strong knowledge of pharmacy documentation requirements preferred

Responsibilities

Assist in researching, identifying and organizing documentation related to the timely processing of PBM audit requests for all SPS locations
Assist in monitoring and executing all billing-related functions surrounding vaccine clinics
Create ancillary revenue billing transactions according to contract and pharmacy performance at required intervals (monthly, quarterly, etc..)
Participate in special enrollment and open enrollment activities as needed
Perform new admission medication cost reviews as needed
Provide customer service to internal and external customers as needed
Update and process low income subsidies as needed
Any other responsibilities as directed by supervisor

Benefits

Compensation & Financial Competitive pay
401(k) with company match
Family, Health & Insurance Benefits (Full-Time employees working 30+ hours/week only)
Medical, Dental and Vision
Health Savings Accounts and Flexible Spending Accounts
Company-paid Basic Life and Accidental Death & Dismemberment
Company-paid Long-Term Disability and optional Short-Term Disability
Voluntary Employee and Dependent Life, Accident and Critical Illness
Dependent Care Flexible Spending Accounts
Wellbeing Employee Assistance Program (EAP)
Guardian Angels (Employee assistance fund)
Time Off Paid holidays and sick days
Generous vacation benefits based on years of service