Polaris Pharmacy Services is a growing, independently owned pharmacy services company focused on long-term care, post-acute, correctional, PACE, and specialty pharmacy support. The Billing Specialist supports billing operations for nursing homes, assisted living facilities, group homes, and private pay accounts.
In this role, you will handle third-party billing, claim resolution, adjudication, FFS and PPS billing, census balancing, payor verification, insurance and Medicaid verification, billing inquiries, fee and charge entry in Framework LTC, and preparation of pre-bills, account audits, and recurring reports. You will also create statements, EOM summaries, and assist residents with account balances while maintaining compliance with HIPAA and other applicable regulations.
High school diploma or equivalent required.
Two years of pharmacy billing experience required; long-term care experience preferred.
Experience with Framework LTC, general computer use, and 10-key number entry preferred.
Knowledge of Sage preferred.
Required skills and abilities:
- Ability to read, write, speak, and understand English
- Basic computer, math, and analytical skills
- Proficiency with Microsoft Word, Excel, and Outlook
- Strong organization and attention to detail
- Ability to work in a fast-paced environment and at a moderate speed
- Reliable, adaptable, and a problem solver
- Ability to work various shifts and days
Competitive pay with annual performance reviews and merit-based raises
Medical, dental, and vision insurance
401(k) available for part-time and full-time employees
Company-paid life insurance
Short-term and long-term disability insurance
Tuition reimbursement
Paid time off, including 6 paid holidays per year, 5 sick days, and up to 10 PTO days annually with rollover options and milestone bonuses
Option to cash out up to 10 PTO hours each quarter
Career growth potential
Annual on-site voluntary flu vaccines
Employee referral bonus program
Location
San Diego, California, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago