What are the responsibilities and job description for the Billing Specialist position at Polaris Pharmacy Services?
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.
BENEFITS Full-Time Employees
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
Join Polaris Pharmacy Services and be part of a team committed to excellence in long-term and post-acute care!
