Polaris Pharmacy Services · 4 hours ago
Billing Specialist
Polaris Pharmacy Services is a dedicated partner in care, transforming how patients experience long-term and specialty pharmacy services. The Billing Specialist ensures accurate billing for Nursing Homes, Assisted Living Facilities, and other related services, managing various billing processes and addressing customer inquiries.
Health CarePharmaceutical
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
Qualification
Required
High school diploma or equivalent
Minimum of two (2) years of pharmacy billing experience (long-term care 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
Preferred
Familiarity with Framework LTC and general computer skills preferred
Benefits
Medical, Dental, Vision and Life insurance
401(k) (available to both Part-Time & Full-Time employees)
Short-term and Long-term Disability insurance
Tuition reimbursement
Paid Time Off (PTO)
Competitive pay with annual performance reviews
Career growth opportunities
Annual on-site flu vaccines (voluntary)
Employee referral bonus program
Company
Polaris Pharmacy Services
Polaris Pharmacy Services, is a privately owned long-term and post-acute care pharmacy committed to delivering high-quality pharmacy services, exceptional customer experiences, and industry-leading value.