Billing & Account Specialist

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Plymouth, MN

Thrifty White Pharmacy is seeking a Billing & Account Specialist to provide excellent customer service as the main contact for customers and pharmacy personnel via phone and in writing. This position navigates and utilizes company technology to fully research and resolve account billing requests including balances, charges, payments, rebilling claims, prior authorization requests, and researching aged balances to collect payments, create payment plans, and work with collections.

• 401(k)
• Competitive salary
• Dental insurance
• Employee discounts
• Flexible schedule
• Health insurance
• Opportunity for advancement
• Paid time off
• Profit sharing
• Training & development
• Vision insurance
• Wellness resources

• Provide excellent service to customers and pharmacy personnel via incoming and outgoing phone calls, emails, intranet tickets and requests.
• Address all aspects of the customer or pharmacy personnel request, including account balances, charges, payments, payment plans, rebilling claims, and prior authorization requests.
• If immediate resolution is not possible or additional research is needed, provide timely follow up.
• Research aged account balances while taking appropriate action including initiating collection calls, sending collection letters, setting up payment plans, restricting and reopening charging privileges, performing write‑off adjustments, and sending to outside collection agencies.
• Bill customers as appropriate for copays and non‑covered items to ensure payment is received and applied.
• Process online payments via phone.
• Process adjustments and apply payments on accounts as appropriate.
• Process refunds as requested and based on internal procedures.
• Document customer accounts, intranet requests and tickets as appropriate based on action taken.
• Verify customer demographics, ensuring account accuracy and HIPAA compliance.
• Use TWRx, insurance websites, People Soft, Intranet, Internet, MN ITS, Office Ally, and other resources as needed to complete research and rebilling.
• Identify areas of improvement within the team and partner with leadership to implement improvements.
• Maintain confidentiality of all patient PHI, following HIPAA guidelines and specific processes.
• Assist with special projects as needed and requested by leadership.
• Learn and implement new and changing technologies on an ongoing basis.
• Maintain flexibility as work roles / job responsibilities change as environment requires.
• Maintain a well‑groomed appearance in accordance with company guidelines.
• Perform all other job duties as assigned.

• Excellent verbal and written communication skills, including the ability to communicate with customers, team members, internal and external partners, and leadership.
• Excellent follow‑through to ensure work is done correctly the first time and customers’ concerns are addressed quickly.
• Background and familiarity with pharmacy insurance processing; if absent, must be able and willing to quickly pick up new knowledge.
• Moderate computer skills, including Word, Excel, and Outlook.
• Ability to troubleshoot and problem‑solve using all tools and resources available prior to escalating the issue.
• Operating phones and copy/print/scan machines.
• Prioritize, multitask, and manage workload.
• Handle stressful situations and difficult customers in a polite and professional manner.
• Maintain effective working relationships with specialists and leadership.
• Maintain confidentiality.
• Must have a clear record without exclusion, sanctions or debarments with the Office of the Inspector General at the time of hire and monthly thereafter.

• AAS Degree or equivalent.
• Knowledge of People Soft, TWRX, and OnBase.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

This position involves in‑office work and may include long periods of sitting. The employee is also frequently required to stand, talk, hear, use hands and fingers, handle or operate objects, tools, or controls, reach with hands and arms, and occasionally lift and/or move up to 40 pounds.

Specific vision abilities required include close vision, distance vision, peripheral vision, color vision, depth perception, and the ability to adjust focus.

We offer competitive wages, medical, dental, vision, life, 401(k), Employee Stock Ownership Plan, paid holidays and vacations, and a store discount for you and your family.

Pharmacy Innovator of the Year by Drug Store News.

Thrifty White Pharmacy is an Equal Opportunity Employer.