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Pharmacy Billing Jobs (NOW HIRING)

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The Pharmacy Billing Specialist is responsible is to provide the highest quality of customer service and pharmacy billing. Job Responsibilities: * Run pharmacy test claims and work rejections.

Salary Starting at $18.00 / hr Overview Woodmark Pharmacy of NY is looking for an experienced, detail- oriented Pharmacy Billing Specialist to join our team and make a difference in the lives of our ...

Pharmacy Billing Specialist

Indianapolis, IN · On-site +1

$18.50 - $24.75/hr

Guardian Pharmacy of Indiana, a member of the Guardian family of pharmacies, has an exciting ... If you enjoy solving problems and helping bring resolution to billing and insurance challenges ...

Pharmacy Billing Technician

Seattle, WA · On-site

$20 - $24.25/hr

Train and educate staff on pharmacy billing functions * Participate in billing related meetings * Retail pharmacy reconciliation and reporting * Other pharmacy related duties in accordance with ...

Pharmacy Billing Technician

Seattle, WA · On-site

$20 - $24.25/hr

Train and educate staff on pharmacy billing functions * Participate in billing related meetings * Retail pharmacy reconciliation and reporting * Other pharmacy related duties in accordance with ...

Job Summary Our client is seeking a Pharmacy Billing Specialist responsible for managing pharmacy billing and claims, handling inbound coordination for facilities, and ensuring accurate monthly ...

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Pharmacy Billing information

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How much do pharmacy billing jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for pharmacy billing in the United States is $20.27, according to ZipRecruiter salary data. Most workers in this role earn between $17.07 and $22.36 per hour, depending on experience, location, and employer.

What is pharmacy billing?

Pharmacy billing is the process of submitting and following up on claims with health insurance companies to receive payment for prescription medications dispensed to patients. This involves verifying insurance coverage, accurately coding prescriptions, processing claims, and resolving any billing issues or rejections. Pharmacy billing specialists work closely with pharmacists, patients, and insurance providers to ensure payments are processed efficiently and in compliance with regulations.

What are the key skills and qualifications needed to thrive in pharmacy billing?

To thrive in Pharmacy Billing, you need a solid understanding of pharmacy operations, medical billing procedures, insurance claims, and relevant healthcare regulations, often supported by experience or certification in pharmacy technology or medical billing. Familiarity with pharmacy management software, electronic claims processing systems, and insurance portals is typically required. Attention to detail, strong organizational skills, and effective communication are vital soft skills for accuracy and collaboration. These competencies help ensure timely and accurate billing, minimize errors, and uphold compliance in a highly regulated healthcare environment.

What are some common challenges faced in pharmacy billing, and how can they be managed?

Pharmacy Billing professionals often encounter challenges such as handling insurance claim denials, navigating complex reimbursement procedures, and keeping up with frequently changing healthcare regulations. To manage these issues, staying organized, maintaining clear communication with both patients and insurance providers, and regularly updating one's knowledge of billing codes and policies is essential. Many teams use pharmacy management software to streamline billing tasks and reduce errors, and collaboration with pharmacists and technicians is crucial for resolving discrepancies efficiently.

What is the difference between Pharmacy Billing vs Pharmacy Technician?

AspectPharmacy BillingPharmacy Technician
CertificationsOften requires certification in billing or codingRequires state-specific certification or registration
Work EnvironmentPrimarily office-based, focusing on billing and insurance claimsPharmacy setting, assisting pharmacists with medication dispensing
Job ResponsibilitiesProcessing insurance claims, billing patients, managing accountsPreparing medications, verifying prescriptions, customer service

While both roles are essential in pharmacy operations, Pharmacy Billing focuses on insurance claims and financial transactions, whereas Pharmacy Technicians assist with medication preparation and customer service. They often work together but have distinct responsibilities and certifications.

More about Pharmacy Billing jobs

What cities are hiring for Pharmacy Billing jobs?

Cities with the most Pharmacy Billing job openings:

What states have the most Pharmacy Billing jobs?

States with the most job openings for Pharmacy Billing jobs include:

Infographic showing various Pharmacy Billing job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 84% Full Time, 11% Part Time, and 3% Contract. Highlights an 91% Physical, 3% Hybrid, and 6% Remote job distribution, with an average salary of $42,166 per year, or $20.3 per hour.

Pharmacy Billing Specialist

Guardian Pharmacy, LLC

Brunswick, ME • On-site

$22/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 8 days ago


Job description

Brunswick, Maine, 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 Maine, a member of the Guardian family of pharmacies, has an exciting opportunity for you to join our rapidly growing team in Brunswick, Maine.
Why Guardian Pharmacy of Maine? 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
Must be flexible between the hours of 6 am - 7 pm
Pay range
$22 per hour
**This position is 100% on-site and requires Pharmacy and/or Medical Billing Experience**
Responsible for processing customer bills and insurance claims in an accurate and timely manner. This includes assisting with all daily and month-end billing functions, procedures and reporting. Provides excellent customer service to patients, caregivers, medical providers and insurance carriers.
ATTRIBUTES REQUIRED:
  • Work Ethic/Integrity - must possess intrinsic drive to excel coupled with values in line with company philosophy
  • Relational - ability to build relationships with business unit management and become "trusted advisor."
  • Strategy and Planning - ability to think ahead, plan and manage time efficiently.
  • Problem Solving - ability to analyze causes and solve problems at functional level.
  • Team Oriented - ability to work effectively and collaboratively with all team members.

ESSENTIAL JOB FUNCTIONS (include the following):
  • Research and establish patient eligibility coverage with insurance providers including private individuals and/or government entities. Reverify benefit coverage criteria as needed for claims follow up. Accurately enters and/or updates patient/insurance information into billing system.
  • Maintain and continually audit patient files and corresponding documentation necessary to defend third party audits and ensure payer and company compliance. Accurately enter patient information into the pharmacy system.
  • Provide assistance and timely response to all billing customer inquiries via phone or electronic communications. Research and resolve patient billing issues regarding insurance eligibility, coverage, and related benefits.
  • Provide 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.
  • Responsible for completion of daily census, admit, discharge, and room changes for the facilities assigned.
  • Process patient payments, returns, and credits. Transmit individual credit card payments as needed.
  • May pursue payment from delinquent accounts and make payment arrangements.
  • Research, identify and organize requested audit documentation in timely manner.
  • Perform prescription claims adjudication including communication with insurance companies regarding rejected claims, eligibility, prior authorizations or other issues as needed. Make corrections as needed and rebill claims as necessary.
  • Develop knowledge and understanding in pharmacy facility billing requirements (Medicare, Medicaid, Prescription Drug Plans (PDPs) and Third-Party Insurances)
  • Develop proficiency in the utilization of pharmacy information systems to meet operational needs and regulatory requirements. This includes using pharmacy systems to process prior authorizations, resolve rejections, produce various reports as necessary, and complete billing functions.
  • Rotate through other departments to gain working/functional knowledge of other department workflows.
  • Follow all applicable government regulations including HIPAA.
  • Work as a collaborative team member to meet the service goals of the pharmacy.
  • Other essential functions and duties may be assigned as needed.

EDUCATION AND/OR CERTIFICATIONS:
  • High School Diploma or GED required.
  • Pharmacy Technician license/certification/registration per state requirements; National Certification preferred (PTCB) may be required (pharmacy specific).

SKILLS AND QUALIFICATIONS:
  • 1+ years of related experience
  • Advanced computer skills; pharmacy information system experience preferred.
  • 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.

WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the job.
  • The noise level in the work environment is usually low to moderate.
  • Due to the collaborative nature of the business and the need to service customers, the employee must be able to interact effectively with others in an office environment, manage conflict, and handle stressful situations and deadlines.
  • Requires desk work in office environment.
  • Ability to work flexible hours.

What We Offer:
Guardian provides employees with a comprehensive Total Rewards package, supporting our core value of, "Treat others as you would like to be treated."
Compensation & Financial
  • Competitive pay
  • 401(k) with company match

Family, Health & Insurance Benefits (Full-Time employees working 30+ hours/week only)
  • Medical, Dental and Vision
  • 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

Wellbeing
  • Employee Assistance Program (EAP)
  • Guardian Angels (Employee assistance fund)

Time Off
  • Paid holidays and sick days
  • Generous vacation benefits based on years of service

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.