Regional Billing Specialist

Guardian Pharmacy Services Management • Pink Hill, NC

13d • Remote

About The Position

Southern Pharmacy Services, a member of the Guardian family of pharmacies, has an exciting opportunity for you to join our rapidly growing team in Pink Hill, North Carolina. 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 required
• Pharmacy Technician registration required
• 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

• college degree in business preferred
• National Certification preferred (PTCB)
• 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

• Competitive pay
• 401(k) with company match
• 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
• Employee Assistance Program (EAP)
• Guardian Angels (Employee assistance fund)
• Paid holidays and sick days
• Generous vacation benefits based on years of service

What This Job Offers

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