Billing Supervisor

Crestview, Florida, 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.

Guardian Pharmacy of Northwest Florida, a member of the Guardian family of pharmacies, has an exciting opportunity for you to join our rapidly growing team in Crestview, Florida.

Why Guardian Pharmacy of Northwest Florida? 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.

Sign-On Bonus $500!

Schedule: M-F, 8-5

This role will be performed onsite at a closed-door pharmacy in Crestview, FL. All patient interactions will be over the phone.

Comprehensive training provided side by side with training team.

Must be comfortable working in a high-volume environment.

We offer full time benefits including health, vision, dental and matching 401k options.

Support the team with all billing/collections functions and ensure they are performed in a timely and accurate manner. Ensure all relevant input is complete, accurate, and fully adjudicated to ensure margin is maximized. Responsible for the integrity of all batches and their timely posting. Handle escalated billing issues and make sure full customer satisfaction is reached for residents, responsible parties and facility staff. Work with other departments as it relates to billing and claims adjudication.

Attributes Required:

• Work Ethic/Integrity - must possess intrinsic drive to excel coupled with values in line with company philosophy

• Leadership - ability to lead project teams to deadlines, while maintaining strong team orientation

• Relational - ability to build relationships with business unit management and become "trusted advisor"

• 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

• Team Oriented - ability to work effectively and collaboratively with all team members

Essential job functions (include the following):

• Manage billing, A/R, and collection functions to ensure high level of customer service is maintained; manage productivity to metrics to include production & error rates

• Supervise team members, to include: hiring, training, evaluating, scheduling, coaching, disciplining, etc.

• Lead team in development and ongoing updates for all operations training manuals to assist in new employee training process; ensure written policies and procedures are maintained and updated for each area/function

• Assist in month end close processes, including statement prep, analysis reports, etc.

• Provide analysis of operational reports such as unbilled revenue; provide detailed explanation of variances and corrections

• Lead and participate in regular team meetings for direct reports and coordinate multi-department meetings to ensure good communication and issue resolution; participate and lead discussions as requested for operational meetings

• Serve as subject matter expert on all department operating systems and programs, including QS/1, DocuTrack, banking software, and others, in order to provide assistance and analysis to department

• Ensure all claims are adjudicated and batches composited and/or posted in a timely manner

• Ensure the PA/rejection queue is updated and resolved in a timely manner

• Quality check all patient and insurance information data entered in the system

• Have a thorough working knowledge of all department functions in order to assist/support clearing bottlenecks in workflow and ensuring the most efficient processes are followed

• Assist in answering phones and providing customer service

• Provide customer account audits when occasions arise

• Become cross trained in all areas of department function so as to assist in clearing bottlenecks in work flow

• Lead by example in all areas of role and supporting the non-negotiable attributes: attitude, dependability, commitment, productivity, efficiency and upholding policies and procedures

• Other essential functions and duties may be assigned as needed

Education and/or Certifications:

• High School Diploma or GED required; Bachelor's Degree preferred

• Pharmacy Technician license/certification/registration (per state requirements); National Certification preferred (PTCB) may be required (pharmacy specific)

Skills and Qualifications:

• 5+ years of related experience (advanced degree may substitute for experience); at least 3 years in high volume claims processing field

• Advanced computer skills; pharmacy operations system experience preferred/required

• Ability to work independently and deliver to deadlines

• Ability to solve problems with minimal direction

• Great attention to detail and accuracy

• Ability to excel in a fast-paced, team-oriented environment working on multiple tasks simultaneously, while adhering to strict deadlines

• Quality minded; motivated to seek out errors and inquire when something appears inaccurate

Work Environment:

• Ability to work flexible hours

What We Offer:

Emotional well-being and physical health are important, which is why our employees receive a generous benefits package and a work culture that supports our core value of, "Treat others as you would like to be treated."

Compensation & Financial

• Competitive pay
• 401(k) with up to 3.5% company match (1)

Family, Health & Insurance Benefits (1), (2)

• Multiple health plan options including copay (FSA-eligible) and HSA eligible plans

• Wellness Incentive Program

• Dental and Vision plans

• Company-paid basic life, AD&D and long-term disability coverage

• Optional employee, spouse, and child life/AD&D insurance

• Optional accident, critical illness, and short-term disability coverage

• Dependent Care Flexible Spending Accounts

• Employee Assistance Program (EAP)

Time Off

• Paid holidays and sick days

• Generous vacation benefits based on years of service

(1) Eligibility begins the first of the month following 30 days of employment

(2) Full-time employees only, excluding EAP which is available to all Guardian employees

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.