[Hiring] Billing Specialist @Polaris Pharmacy Services

Role Description

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

Duties/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
• 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