Regional Billing Specialist

Posted 2 Days Ago
Be an Early Applicant
Pink Hill, NC, USA
In-Office
Mid level
Healthtech
The Role
Support regional pharmacy billing operations across locations: assist PBM audit documentation, vaccine and ancillary billing, Medicare open enrollment activities, perform medication cost reviews, create recurring ancillary revenue transactions, update low-income subsidies, provide customer service, and support billing compliance. Use FrameworkLTC/FrameworkECM and MS Office while collaborating with regional billing leads and managers.
Summary Generated by Built In
Pink Hill, North Carolina, United States of America

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 Pink Hill, 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: (Remote)

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

Essential Job Functions (include the following):

  • 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

Education and/or Certifications:

  • High School diploma required, college degree in business preferred
  • Pharmacy Technician registration required; National Certification preferred (PTCB)

Skills and Qualifications:

  • 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
  • Collections and Adjudication experience preferred
  • FrameworkLTC and FrameworkECM experience required
  • Strong knowledge of 3rd party insurance requirements
  • Strong knowledge of pharmacy documentation requirements preferred

Work Environment:

  • Ability to work flexible hours

What We Offer:

Guardian provides employees with a comprehensive Total Rewards package, supporting our core value of, “Treat others as you would like to be treated.”
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

The Guardian Difference

Our clients require pharmacy services that aren’t “cookie cutter.” That’s why every Guardian pharmacy is locally operated and empowered with the autonomy to tailor their business to meet their clients’ needs.

Our corporate support offices, based in Atlanta, Ga., provide services such as human resources, business intelligence, legal, and marketing to promote the success of each Guardian location.

Regardless of your role at Guardian, your voice and talents matter. Because healthcare is an ever-changing industry, we encourage innovative thinking, intellectual curiosity, and diverse viewpoints to ensure we stay competitive in today’s dynamic business environment.

At Guardian, we are dedicated to fostering and advancing a diverse and inclusive workforce.

Join us to discover what your best work truly looks like.

Skills Required

  • High School diploma
  • College degree in business
  • Pharmacy Technician registration
  • National Certification (PTCB)
  • Pharmacy experience
  • Collections and Adjudication experience
  • FrameworkLTC experience
  • FrameworkECM experience
  • Strong knowledge of 3rd party insurance requirements
  • Strong knowledge of pharmacy documentation requirements
  • 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
  • Ability to work to deadlines and balance multiple priorities
  • Ability to work flexible hours

Guardian Pharmacy Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Guardian Pharmacy and has not been reviewed or approved by Guardian Pharmacy.

  • Fair & Transparent Compensation Pay is considered competitive for pharmacists, with guaranteed hours that compare favorably to retail settings. Feedback suggests some departments view compensation as “pretty good,” reflecting role- and location-driven strengths.
  • Leave & Time Off Breadth Benefits include PTO, sick time, paid holidays, and a personal day, with occasional holiday pay even when off. These provisions, alongside flexible lunches in some areas, add perceived value for certain employees.
  • Retirement Support Retirement offerings include a 401(k) with company matching. This foundation supports longer-term financial security as part of the total rewards mix.

Guardian Pharmacy Insights

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The Company
HQ: Atlanta, GA
1,099 Employees
Year Founded: 2004

What We Do

Guardian Pharmacy Services, headquartered in Atlanta, is one of the nation’s largest and most innovative long-term care pharmacy companies. Recognized for providing exceptional client service and care, Guardian’s pharmacies serve long-term care communities and their residents in assisted living and skilled nursing, group homes, behavioral health, and organizations focused on individuals with intellectual and developmental disabilities. As medication management experts, we facilitate the full lifecycle of pharmacy administration and consultative services. Through our unique local pharmacy business model, we combine the personal service of a local pharmacy with the technology and resources of a large national support team. In this way, we deliver the highest quality care. At Guardian Pharmacy, it’s about more than just providing medication, our comprehensive services ensure safety, healthier outcomes and reduce costs. For more information about Guardian Pharmacy Services or to view available job opportunities, visit our website at www.guardianpharmacy.com.

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