Pharmacy Biller - MedBox

{
  "content_hash": "cad2d412760571e49dd9d0c820e2e7a5ba90017a2c75ca11bc7c18e55a39b78e",
  "source_hash": "d5984439049162d9e5e38e3127947af6078e6ad10a03e4532a6e285061b45c70",
  "last_changed_at": "2026-05-30T06:11:35.745Z",
  "active_status": "active"
}

{
  "language": "en",
  "location": {
    "raw": "Laguna Hills, California, 92653, United States",
    "city": "Laguna Hills",
    "region": null,
    "country": "United States",
    "is_remote": false,
    "confidence": 0.95
  },
  "salary_max": null,
  "salary_min": null,
  "inferred_at": "2026-06-06T09:46:54.253Z",
  "launch_scope": {
    "reason": "bamboohr_production_catalog",
    "included": true,
    "location": {
      "raw": "Laguna Hills, California, 92653, United States",
      "city": "Laguna Hills",
      "region": null,
      "country": "United States",
      "is_remote": false,
      "confidence": 0.95
    },
    "countries": [
      "United States"
    ]
  },
  "remote_policy": null,
  "salary_period": null,
  "workplace_type": "on_site",
  "salary_currency": null
}

{}

{
  "list_job": {
    "id": "649",
    "isRemote": null,
    "location": {
      "city": "Laguna Hills",
      "state": "California"
    },
    "atsLocation": {
      "city": null,
      "state": null,
      "country": null,
      "province": null
    },
    "departmentId": "18717",
    "locationType": "0",
    "jobOpeningName": "Pharmacy Biller - MedBox ",
    "departmentLabel": "MedBox",
    "employmentStatusLabel": "Full-Time"
  },
  "detail_errors": [],
  "detail_job_opening": {
    "location": {
      "city": "Laguna Hills",
      "state": "California",
      "postalCode": "92653",
      "addressCountry": "United States"
    },
    "datePosted": "2025-11-25",
    "atsLocation": {
      "city": null,
      "state": null,
      "country": null,
      "countryId": null
    },
    "description": "<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\"><span style=\"font-weight: bold\">Make an Impact Beyond Billing</span><br></span></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">At AmeriPharma MedBox, we don’t just dispense medication, we ensure patients receive the therapies they depend on, on time, every month. As a Pharmacy Biller, you will play a critical role in keeping medications moving from insurance approval to production and ultimately to the patient’s home. This is not just a billing function, it is a key position within our care delivery process. Your work ensures prescriptions are approved and ready for production, enabling timely dispensing and positively impacting patient health outcomes.</span><br></p>\n<p><br></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">If you enjoy solving insurance challenges, navigating payer requirements, and working in a fast-paced pharmacy environment where your expertise truly matters, this role is for you.</span></p>\n<p><br></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt; font-weight: bold\">About Us</span></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">AmeriPharma is a rapidly growing healthcare company where you will have the opportunity to contribute to our joint success on a daily basis. We value new ideas, creativity, and productivity. We like people who are passionate about their roles and people who like to grow and change as the company evolves.</span><br></p>\n<p><br></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt; font-weight: bold\">AmeriPharma’s Mission Statement </span></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Our goal is to achieve superior clinical and economic outcomes while maintaining the utmost compassion and care for our patients. It is our joint and individual responsibility daily to demonstrate to outpatients, prescribers, colleagues, and others that We Care!</span></p>\n<p><br></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt; font-weight: bold\">Our Benefits Packages</span></p>\n<ul>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Full benefits package including medical, dental, vision, life that fits your lifestyle and goals</span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Great pay and general compensation structures</span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Employee assistance program to assist with mental health, legal questions, financial counseling etc.</span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Comprehensive PTO and sick leave options</span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">401k program</span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Plenty of opportunities for growth and advancement</span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Company sponsored outings and team-building events</span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Casual Fridays</span></li>\n</ul>\n<p><br></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt; font-weight: bold\">What You'll Do</span></p>\n<ul>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Own the monthly claims process that triggers medication production and dispensing.</span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Submit, adjudicate, and rebill pharmacy claims accurately and efficiently.</span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Resolve claim rejections and secure necessary overrides from PBMs.</span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Manage prior authorizations and coordinate with providers for timely approvals.</span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Communicate clearly with patients regarding insurance-related matters.</span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Ensure compliance with Medicare Part D, Medicaid, and commercial payer requirements.</span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Identify billing trends and proactively prevent recurring rejections.</span><br></li>\n</ul>\n<p><br></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt; font-weight: bold\">Why This Role Matters</span></p>\n<ul>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Your work directly impacts whether patients receive their medications on time by ensuring timely payment processing, minimizing delays in production and dispensing.</span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">You collaborate with pharmacy operations, production, and insurance teams</span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">You become a subject matter expert in complex payer systems. </span></li>\n</ul>\n<p><br></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt; font-weight: bold\">Schedule Details</span></p>\n<ul>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Location: On-Site – Laguna Hills, CA (Office borders Irvine)</span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Hours: 8 hour shifts, 5 days a week: Monday – Friday, 8:30 AM – 5:00 PM, or 7:00AM - 5:00PM, Saturday 7:30AM - 4:00PM (rotating)</span></li>\n</ul>\n<p><br></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt; font-weight: bold\">Required Skills &amp; Qualifications</span></p>\n<ul>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Minimum of 1 year of direct, hands-on experience with third-party billing, claims submission, prior authorization and rejection resolution.<br></span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Direct experience with third-party billing, claim submission, rejection resolution, and prior authorizations.</span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Expertise in navigating complex payer requirements, including Medicare, Medicaid, and private insurance plans. <br></span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">High attention to detail and strong organizational skills.</span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Ability to prioritize and work independently in a high-volume environment.</span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Professional communication skills when working with patients and peers.</span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Strong analytical skills, and the ability to handle sensitive patient information with discretion.<br><br></span></li>\n</ul>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt; font-weight: bold\">Preferred Qualifications</span></p>\n<ul>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Licensed or Registered Pharmacy Technician</span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Experience with multi-state or out-of-state insurance plans</span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Experience in long-term care, specialty pharmacy, or high-volume settings</span></li>\n</ul>\n<p><br></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt; font-weight: bold\">Education Requirements</span></p>\n<ul>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">High School Diploma or equivalent (required)</span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Familiarity with NCPDP standards, PBMs, and claim processing</span><br></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Preferred: Licensed/Registered Pharmacy Technician</span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Preferred: Experience working with out-of-state insurance plans</span></li>\n</ul>\n<p><br></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt; font-weight: bold\">Who Thrives Here</span></p>\n<ul>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Problem-solvers who enjoy tackling complex insurance scenarios</span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Detail-oriented professionals who understand the financial impact of accuracy</span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Individuals who want their work to directly influence patient care</span></li>\n<li><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">Team players who value accountability and ownership</span></li>\n</ul>\n<p><br></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt; font-weight: bold\">Physical Requirements </span></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">The following physical activities described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions and expectations</span></p>\n<p><br></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt; font-weight: bold\">EEO Statement </span></p>\n<p><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt\">The above statements are intended to describe the work being performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required. The duties and responsibilities of this position are subject to change and other duties may be assigned or removed at any time. AmeriPharma values diversity in its workforce and is proud to be an AAP/EEO employer. All qualified applicants will receive consideration for employment without regard to race, sex, color, religion, sexual orientation, gender identity, national origin, age, protected veteran status, or on the basis of disability or any other legally protected class.</span></p>",
    "compensation": "$24-$27 Hourly/DOE",
    "departmentId": "18717",
    "locationType": "0",
    "seekPromoted": false,
    "jobCategoryId": null,
    "jobOpeningName": "Pharmacy Biller - MedBox ",
    "departmentLabel": "MedBox",
    "jobOpeningStatus": "Open",
    "minimumExperience": "Entry-level",
    "jobOpeningShareUrl": "https://ameripharma.bamboohr.com/careers/649",
    "employmentStatusLabel": "Full-Time"
  }
}