Billing Specialist

WHO WE ARE
At Polaris Pharmacy Services, we're more than a pharmacy - we're a dedicated partner in care, transforming how patients experience long-term, post-acute, correctional, PACE, and specialty pharmacy services. As industry leaders, we're raising the bar for quality and coordination across all sites of care, ensuring every patient receives seamless, compassionate, and expert support.

Founded in 2015, Polaris is proud to be locally and independently owned, with a growing national footprint. Our team thrives in a mission-driven environment where innovation meets purpose, and every role contributes to making a real impact. We offer more than just a job - we provide competitive pay, robust benefits, and genuine opportunities for career advancement.

If you're passionate about shaping the future of pharmacy and making a difference in the lives of those who need it most, we invite you to grow with us.

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!