[Hiring] Billing Specialist @Polaris Pharmacy Services

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Role Description

The Billing Specialist is responsible for Nursing Homes, Assisted Living Facilities, Group Homes, and Private Pay statements.

  • Process third-party billing, claim resolution, and adjudication
  • Manage FFS and PPS billing
  • Conduct census balancing and payor verification
  • Verify insurance and Medicaid coverage
  • Knowledge of Dual Coverage, MCR D, and Commercial Plans pertaining to Long Term Care
  • Assist with all customer billing inquiries in a courteous and professional manner
  • Enter fees and charges in Framework LTC
  • Prepare daily, weekly, and monthly pre-bills and account audits
  • Prepare daily, weekly, and monthly reports
  • Create statements and EOM summaries
  • Understand and work with residents on account balances
  • Follow all applicable government regulations including HIPAA
  • Other duties as deemed necessary by Billing Manager

Qualifications

  • Able to read, write, speak, and understand the English language
  • Able to work in a fast-paced environment
  • Basic computer knowledge skills required
  • Basic math and analytical skills
  • Proficient in Microsoft Word, Excel, and Outlook required
  • Good organization/Attention to detail
  • Able to work at a moderate speed
  • Reliable
  • Problem solver
  • Able to work various shifts and days
  • Adaptability to an ever-changing environment

Requirements

  • High School diploma or equivalent required
  • Two (2) years’ pharmacy billing experience required (long-term care preferred)
  • Framework LTC & General computer knowledge & 10-key Number Entry preferred
  • Knowledge of Sage preferred

Physical Demands

  • May sit or stand seven (7) to ten (10) hours per day
  • The employee is occasionally required to sit; climb or balance; and stoop, kneel, bend, walk
  • May be necessary to work extended hours as needed
  • May lift and/or move up to 30 pounds
  • The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this role

Benefits

  • Medical, Dental, and Vision insurance
  • 401 (k) (available for Part Time & Full Time EEs)
  • Company Paid Life insurance
  • Short-term and Long-term disability insurance
  • Tuition reimbursement
  • Personal Time Off (PTO)
  • Competitive pay with annual performance reviews and merit-based raises
  • Career growth potential
  • Annual on-site voluntary Flu Vaccines
  • Employee referral bonus program
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