Collections Specialist

Join to apply for the Collections Specialist role at Guardian Pharmacy
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Location:

Mountlake Terrace, Washington, United States of America.

Compensation: $22 - $25 per hour.

Guardian Pharmacy is part of one of the nation’s largest, most innovative long‑term care pharmacy services providers. With a localised pharmacy model backed by a corporate team in Atlanta, Guardian delivers best‑in‑class pharmacy care to seniors and individuals with complex care needs.

• Process customer bills and insurance claims accurately and timely.
• Assist with daily and month‑end billing functions, procedures, and reporting.
• Provide excellent customer service to patients, caregivers, medical providers and insurance carriers.
• Determine patient eligibility coverage with insurance providers, including private individuals and government entities.
• Maintain and audit patient files and supporting documentation for third‑party audits and payer compliance.
• Answer billing inquiries via phone or electronic communications and resolve patient billing issues.
• Support residents or responsible parties with Medicare plan comparisons during enrollment periods.
• Record patient payments, returns, credits, and process credit‑card payments.
• Pursue payment from delinquent accounts and negotiate payment arrangements.
• Communicate with insurance companies regarding rejected claims, eligibility, prior authorizations and rebill claims as needed.
• Develop knowledge of Medicare, Medicaid, Prescription Drug Plans and third‑party insurance billing requirements.
• Use pharmacy information systems to process prior authorizations, resolve rejections, produce reports and complete billing functions.
• Collaborate with cross‑functional teams and rotate through other departments to gain functional knowledge.
• Follow all applicable government regulations, including HIPAA.
• Meet service goals of the pharmacy as a collaborative team member.

• Research and establish patient eligibility coverage; reverify benefits as needed.
• Accurately enter and update patient/insurance information in the billing system.
• Maintain patient files for audit and compliance purposes.
• Provide assistance and timely response to all billing customer inquiries.
• Guide residents or responsible parties during Medicare plan comparisons.
• Complete daily census, admit, discharge, and room changes for assigned facilities.
• Process patient payments, returns, and credits; transmit credit‑card payments.
• Research, identify and organize audit documentation.
• Perform prescription claims adjudication, correct and rebill claims.
• Develop proficiency in pharmacy information systems.
• Rotate through departments.
• Adhere to HIPAA and other regulations.
• Work collaboratively to meet service goals.

• High School Diploma or GED required.

• 1+ years of related experience.
• Advanced computer skills; pharmacy information system experience preferred.
• Ability to work independently and meet deadlines.
• Great attention to detail and accuracy.
• Ability to excel in a fast‑paced, team‑oriented environment with multiple concurrent tasks.
• Quality‑minded; motivated to find and correct errors.

• Noisy level low to moderate.
• Interaction with others in an office setting; manage conflict, stress, and deadlines.
• Desk work in office environment.
• Flexible hours may be required.

• Competitive pay.
• 401(k) with company match.
• Medical, dental and vision for full‑time employees working 30+ hours per week.
• Health Savings Accounts and Flexible Spending Accounts.
• Company‑paid Basic Life and Accidental Death & Dismemberment.
• Company‑paid Long‑Term Disability and optional Short‑Term Disability.
• Voluntary Employee and Dependent Life, Accident and Critical Illness.
• Dependent Care Flexible Spending Accounts.
• Employee Assistance Program (EAP).
• Guardian Angels (employee assistance fund).
• Paid holidays and sick days.
• Generous vacation benefits based on years of service.

Guardian pharmacies are local, operated and empowered with autonomy to tailor services to each client’s needs. Corporate support offices in Atlanta provide human resources, business intelligence, legal and marketing services to promote success at every location. We encourage innovative thinking, intellectual curiosity and a diverse workforce to remain competitive in a dynamic environment.

We are dedicated to fostering and advancing a diverse and inclusive workforce. Because healthcare is ever‑changing, we encourage innovative thinking, intellectual curiosity, and diverse viewpoints.
Guardian Pharmacy invites you to discover what your best work truly looks like.