Pharmacy Billing Solutions Specialist

Partners in Home Care is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected status. Position Summary The Pharmacy Billing Solutions Specialist is an individual-contributor role responsible for accurate, timely billing and account resolution for Partners in Home Care's Solutions and Pharmacy services. The position serves as a subject matter resource for pharmacy billing, reimbursement, and revenue-cycle problem resolution and is dedicated to post-service work in WellSky CareTend, including charge capture, claim preparation and submission, rejection correction, accounts receivable follow-up, denial and appeal resolution, underpayment research, and billing reporting. Front-end referral intake, benefit verification, prior authorization, and pre-service financial counseling remain the responsibility of the Intake Specialist and other designated departments. The Pharmacy Billing Solutions Specialist reviews completed information only as necessary to establish billing readiness, returns incomplete items to the responsible team, and maintains clear, audit-ready billing documentation in CareTend. This position has no supervisory or lead responsibilities. Why this role matters · Dedicated billing ownership converts completed pharmacy services into accurate claims and timely reimbursement. · Clear handoffs between Intake, Pharmacy, Nursing, Delivery, and Billing reduce rework while preserving role accountability. · Strong claim follow-up, denial prevention, and root-cause analysis improve clean-claim performance, first-pass payment, and A/R results.