Billing Specialist (Healthcare)

Englewood, Colorado, 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 Englewood, a member of the Guardian family of pharmacies, has an exciting opportunity for you to join our rapidly growing team in Englewood, Colorado.

Why Guardian Pharmacy of Englewood? 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.

Location: Guardian Pharmacy Services, Heartland of the West
8599 Prairie Trail Dr, Englewood, CO 80112

Schedule: Monday–Friday | 9:00 AM – 5:30 PM
Pay: $21–$25 per hour (depending on experience)

Preferred Qualifications

• Proven experience as a healthcare billing specialist, ideally within a pharmacy setting.

• Pharmacy Technician license preferred.

• Strong working knowledge of insurance adjudication, third-party payers, and pharmacy billing systems.

• Detail-oriented with the ability to independently manage complex billing issues from start to resolution.

Application Deadline: February 28th, 2026

Key Responsibilities

• Manage and resolve prescription insurance claims, including rejections, eligibility issues, and prior authorizations.

• Correct, rebill, and follow claims through to successful reimbursement.

• Process patient payments, credits, returns, and credit card transactions accurately and securely.

• Support pharmacy operations by applying healthcare and pharmacy billing expertise.

• Follow up on delinquent accounts and work with patients to establish payment arrangements while maintaining excellent customer service.

Responsible for processing customer bills and insurance claims in an accurate and timely manner. This includes assisting with all daily and month-end billing functions, procedures and reporting. Provides excellent customer service to patients, caregivers, medical providers and insurance carriers.

ATTRIBUTES REQUIRED:               

• Work Ethic/Integrity – must possess intrinsic drive to excel coupled with values in line with company philosophy.
• 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 functional level.
• Team Oriented – ability to work effectively and collaboratively with all team members.

ESSENTIAL JOB FUNCTIONS (include the following):

• Perform prescription claims adjudication including communication with insurance companies regarding rejected claims, eligibility, prior authorizations or other issues as needed. Make corrections as needed and rebill claims as necessary.
• Process patient payments, returns, and credits. Transmit individual credit card payments as needed.
• May pursue payment from delinquent accounts and make payment arrangements.
• Research and establish patient eligibility coverage with insurance providers including private individuals and/or government entities. Reverify benefit coverage criteria as needed for claims follow up. Accurately enters and/or updates patient/insurance information into billing system.
• Maintain and continually audit patient files and corresponding documentation necessary to defend third party audits and ensure payer and company compliance.  Accurately enter patient information into the pharmacy system.
• Provide assistance and timely response to all billing customer inquiries via phone or electronic communications. Research and resolve patient billing issues regarding insurance eligibility, coverage, and related benefits. Uses working knowledge to troubleshoot and resolve customer service issues.
• Provide guidance an