Billing Specialist

BILLING SPECIALIST

WHO WE ARE

Polaris Pharmacy Services is an industry leader in both the Long-Term Care and Post-Acute Care settings. Founded in 2015, we are locally and independently owned with pharmacies in several cities throughout the country. We are proud to offer competitive benefits and industry pay as well as the opportunity for career advancement to all our team members.

POSITION OVERVIEW

The Billing Specialist ensures accurate billing for Nursing Homes, Assisted Living Facilities, Group Homes, and Private Pay statements.

KEY RESPONSIBILITIES

•     Process third-party billing, claim resolution, and adjudication

•    Manage FFS and PPS billing

•    Conduct census balancing and payor verification

•    Verify insurance and Medicaid coverage

•    Handle Dual Coverage, Medicare Part D, and Commercial Plans related to Long-Term Care

•    Address customer billing inquiries professionally

•    Enter fees and charges in Framework LTC

•    Prepare and audit daily, weekly, and monthly billing reports

•    Generate statements and end-of-month summaries

•    Assist residents with account balances

•    Ensure compliance with HIPAA and other regulations

•    Adhere to company policies on safety, attendance, and dress code

•    Availability for overtime, holidays, and weekends as needed

•    Perform additional duties as assigned by the Billing Manager

QUALIFICATIONS

•    High school diploma or equivalent

•    Minimum of two (2) years of pharmacy billing experience (long-term care preferred)

•    Familiarity with Framework LTC and general computer skills preferred

•    Strong proficiency in Microsoft Word, Excel, and Outlook

•    Ability to work in a fast-paced environment

•    Strong organizational skills and attention to detail

•    Reliable and adaptable to changing work environments

•    Ability to work flexible shifts

PHYSICAL REQUIREMENTS

•     Ability to sit or stand for extended periods (7-10 hours per day)

•    Occasional climbing, balancing, stooping, kneeling, bending, crouching, walking, or crawling

•    Ability to lift and move up to 50 pounds

•    Flexibility to work extended hours as needed

PTO & HOLIDAY POLICY

• Paid holidays are provided annually, with 6 days offered each year, along with 5 sick days.
• Employees earn up to 10 PTO days each year, with rollover options and milestone bonuses.
• Employees have the option to cash out up to 10 PTO hours each quarter for added financial flexibility.

Please note, because we are a pharmacy most of our locations are open 24-hours a day, 7 days a week and therefore schedules may change as determined by the needs of the business.