Guardian Pharmacy of Southwest Florida, LLC, USA
23 days ago
Billing Lead Pharmacy
North Port, 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 Southwest Florida, a member of the Guardian family of pharmacies, has an exciting opportunity for you to join our rapidly growing team in North Port, Florida.

Why Guardian Pharmacy of Southwest 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.

Schedule: M-F 9:30am to 6:00pm

This role will be performed onsite at a closed-door pharmacy in North Port, Florida. 

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 evaluationsProvide guidance and support to resident or responsible party by running Medicare plan comparisons during open enrollment and special enrollment periods. Proactively review patient profiles, drug regimens and insurance coverage to evaluate options to save resident money.May pursue payment from delinquent accounts and make payment arrangements. CollectionsResearch, identify and organize requested audit documentation in timely manner.Lead by example in all areas of role and supporting the non-negotiable attributes: attitude, dependability, commitment, productivity, efficiency and upholding policies and proceduresThrough 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 functionsServe 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 pharmacyOther essential functions and duties may be assigned as needed


Education and/or Certifications:

High School Diploma or GED required


Skills and Qualifications:
• 3+ years related experience including a minimum of 1 year at Billing Specialist

• Advanced computer skills; pharmacy information system experience

• Ability to work independently and deliver to deadlines

• 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 about inaccuracies

​• Pharmacy Technician license/certification/registration National Certification preferred (PTCB) is a plus but not a requirement.


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 pay401(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 plansWellness Incentive ProgramDental and Vision plansCompany-paid basic life, AD&D and long-term disability coverageOptional employee, spouse, and child life/AD&D insuranceOptional accident, critical illness, and short-term disability coverageDependent Care Flexible Spending AccountsEmployee Assistance Program (EAP)

Time Off 

Paid holidays and sick daysGenerous 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.

Confirm your E-mail: Send Email