Pharmacy Billing Specialist

Guardian Pharmacy of Southwest Florida, a member of the Guardian family of pharmacies, is expanding its team in North Port. We provide tech‑enabled medication management solutions for seniors and individuals with complex care needs. This opportunity invites a dedicated professional who thrives in a fast‑paced, inclusive environment to advance their career with us.

Tues‑Fri: 10:30 am‑7:00 pm Sat: 9:00 am‑5:30 pm.

Onsite at a closed‑door pharmacy in North Port, Florida. All patient interactions occur over the phone.

• Process customer bills and insurance claims accurately and promptly.
• Execute daily, month‑end billing functions, procedures and reporting.
• Provide customer service to patients, caregivers, medical providers and insurance carriers.
• Perform daily census, admissions, discharges and room changes for assigned facilities.
• Handle patient payments, returns, credits and debit card transactions.
• Investigate and resolve billing inquiries via phone or electronic communication.
• Research patient eligibility and coverage; reverify benefits for follow‑up claims.
• Maintain patient files and supporting documentation for audits and compliance.
• Assist residents during open and special enrollment periods with Medicare plan comparisons.
• Reconcile reimbursements, pursue delinquent payments and arrange settlements.
• Adjudicate prescription claims, communicate with insurers on rejections, authorizations, and other issues.
• Develop proficiency in pharmacy information systems for prior authorizations, reporting and billing functions.
• Rotate through other departments to gain functional knowledge.
• Adhere to government regulations including HIPAA.
• Collaborate with the team to meet pharmacy service goals.

• Strong work ethic and integrity aligned with company values.
• Relationship building skills to serve as a trusted advisor.
• Strategic thinking, planning and efficient time management.
• Analytical problem‑solving at the functional level.
• Team orientation and ability to collaborate effectively.

• High School Diploma or GED.
• Pharmacy Technician license, certification or registration as required by state; national certification (PTCB) preferred.

• Minimum 1 year of related experience.
• Advanced computer skills; experience with pharmacy information systems is preferred.
• Ability to work independently and meet deadlines.
• Excellent attention to detail and accuracy.
• Capability to thrive in a fast‑paced, multi‑tasking environment while adhering to strict deadlines.
• Quality‑mindful; motivated to identify errors and verify accuracy.

• Typical noise level: low to moderate.
• Collaborative office setting with frequent customer interaction; requires conflict resolution and stress management.
• Desk work in an office environment.
• Flexible scheduling required.

• Competitive pay.
• 401(k) with company match.
• Comprehensive medical, dental, vision, and HSA/FSA plans (full‑time employees).
• Company‑paid life, accidental death & dismemberment, long‑term disability, and optional short‑term disability.
• Voluntary employee and dependent life, accident and critical illness insurance.
• Dependent care flexible spending accounts.
• Employee Assistance Program (EAP) and Guardian Angels fund.
• Paid holidays, sick days, and generous vacation based on tenure.

Guardians are locally operated and empowered to tailor services to client needs. We foster innovation, intellectual curiosity, and diversity in an ever‑changing healthcare landscape. Your voice and talents matter, and together we deliver extraordinary care.