Retail Pharmacy Biller
Adventist Health•Roseville, CA
•Onsite
About The Position
Adventist Health Roseville is looking for a Retail Pharmacy Biller for a Full-time, Day Shift position. The role is onsite in Roseville, CA. The primary responsibility is to ensure accurate and timely billing for pharmacy-related services. This includes preparing and submitting claims to insurance providers, resolving billing discrepancies, and collaborating with patients, payers, and internal teams to ensure prompt reimbursement and minimize claim denials.
Requirements
- High School Education/GED or equivalent
- Five years' relevant experience
- Experience and familiarity with pharmacy terminology and coding standards (e.g., NCPDP, HCPCS, ICD-10)
Nice To Haves
- Associate’s/Technical Degree or equivalent combination of education/related experience
- Retail Pharmacy Billing Certificate (RPBC)
- Retail pharmacy billing training course
Responsibilities
- Reviews financial statements to identify and correct payment inconsistencies or errors.
- Posts charges and payments to ensure all billing entries are accurate and compliant.
- Prepares and issues invoices and billing documentation to customers or patients.
- Submits billing data and claims to appropriate insurance providers.
- Tracks and processes insurance claims from submission to payment.
- Investigates and resolves denial instances to ensure maximum reimbursement.
- Monitors and implements billing procedures and systems that support compliance and efficiency.
- Supports the deployment and reporting of pharmacy-related billing programs and initiatives.
- Prepares daily deposits for payments received.
- Performs other job-related duties as assigned.
Benefits
- All required vaccinations as a condition of employment and annually thereafter, where applicable.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
