Pharmacy Billing Lead

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

Why Guardian Pharmacy of Orlando? 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.

Schedule: Full Time, Monday- Friday 8:30am-5:00pm ( hours are a range, with flexibility)

*At the end of billing cycle each month some extended hours and occasional weekends may be needed*

This role will be performed onsite at a closed-door pharmacy in Orlando, 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.

The Lead Billing Specialist assists in supporting and leading the daily operations of the billing function. Assists pharmacy management in daily operational workflow and scheduling assignments. Provides support and training to billing team members. Ensures customer service standards are met for facilities and patients we service.

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
• 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):
Consistently perform all activities and duties of Billing Specialist II at above standard performance levels. This includes performing all daily and month-end billing functions, procedures and reporting.

• Handle escalated billing issues and questions from team members.  Ensure full customer satisfaction is reached for residents, responsible parties and facility staff.
• Working with department leadership, train, lead and develop team to ensure optimum performance. Ensure training manuals and written policies and procedures are maintained and updated for area/function. Working with department leadership, train, lead and develop team to ensure optimum performance. Ensure training manuals and written policies and procedures are maintained and updated for area/function.
• Work with various department leaders to assist/support clearing bottlenecks in workflow and ensure the most efficient processes are followed.  Assist in implementing changes and rollout of new processes/tools to team members.
• In coordination with Departmental management, provide input on performance evaluations
• Lead by example in all areas of role and supporting the non-negotiable attributes: attitude, dependability, commitment, productivity, efficiency and upholding policies and procedures
• Through prior experience and cross training, demonstrate advanced knowledge and understanding in pharmacy facility billing requirements (Medicare, Medicaid, Prescription Drug Plans (PDPs) and Third-Party Insurances) and working/functional knowledge of other pharmacy departmental functions
• Serve as subject matter expert and departmental resource in Pharmacy information systems and workflow. 
• Consistently exceed pharmacy's established accuracy and productivity levels.
• Follow all applicable government regulations including HIPAA.
• As a team lead, ensures team members work collaboratively to meet the service goals of the pharmacy
• Other essential functions and duties may be assigned as needed

Education and/or Certi