Retail Pharmacy Biller
About The Position
Adventist Health Roseville is looking for a Retail Pharmacy Biller for a Full-time, Day Shift position. This role is based onsite at our Roseville, CA location. The Adventist Health corporate headquarters, located in the metropolitan area of Sacramento, has been in Roseville, California, for over 40 years. In 2019, we opened our WELL-certified campus, a refreshing environment for associates across the system to collaborate, innovate, and connect. Adventist Health Roseville and its shared service teams have access to a welcoming space designed to foster well-being and inspire their best work. Job Summary: This role is responsible for ensuring accurate and timely billing for pharmacy-related services. The Retail Pharmacy Biller will prepare and submit claims to insurance providers, resolve billing discrepancies, and collaborate with patients, payers, and internal teams to ensure prompt reimbursement and minimize claim denials.
Requirements
- Experience and familiarity with pharmacy terminology and coding standards (e.g., NCPDP, HCPCS, ICD-10): Preferred
- Retail Pharmacy Billing Certificate (RPBC): Preferred
- Retail pharmacy billing training course: Preferred
Nice To Haves
- High School Education/GED or equivalent: Preferred
- Associate’s/Technical Degree or equivalent combination of education/related experience: Preferred
- Five years' relevant experience: Preferred
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
- Medical and religious exemptions may apply.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
