Adventist Health ยท 2 months ago
Retail Pharmacy Biller
Adventist Health is a faith-based, nonprofit integrated health system serving communities on the West Coast and Hawaii. The Retail Pharmacy Biller role ensures accurate and timely billing for pharmacy-related services, prepares claims for insurance providers, and resolves billing discrepancies to facilitate prompt reimbursement.
Elder CareHealth CareHospitalMedicalNon ProfitWellness
Responsibilities
Reviews financial statements to identify and correct payment inconsistencies or errors
Posts charges and payments to ensure all billing entries are accurate and compliant
Prepares and issues invoices and billing documentation to customers or patients
Submits billing data and claims to appropriate insurance providers
Tracks and processes insurance claims from submission to payment
Investigates and resolves denial instances to ensure maximum reimbursement
Monitors and implements billing procedures and systems that support compliance and efficiency
Supports the deployment and reporting of pharmacy-related billing programs and initiatives
Performs other job-related duties as assigned
Qualification
Required
Retail pharmacy billing training course
RPBC
Preferred
High School Education/GED or equivalent
Associate's/Technical Degree or equivalent combination of education/related experience
Five years' relevant experience
Experience and familiarity with pharmacy terminology and coding standards (e.g., NCPDP, HCPCS, ICD-10)
Company
Adventist Health
Adventist Health is a Adventist Health is a not-for-profit health care organization .
Funding
Current Stage
Late StageLeadership Team
Recent News
The Business Journal
2025-12-11
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2025-11-04
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