Billing Specialist

Polaris Pharmacy Services • Fort Lauderdale, FL

4d

About The Position

The Billing Specialist ensures accurate billing for Nursing Homes, Assisted Living Facilities, Group Homes, and Private Pay statements.

Requirements

• High school diploma or equivalent
• Minimum of two (2) years of pharmacy billing experience (long-term care 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

Nice To Haves

• Familiarity with Framework LTC and general computer skills preferred

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

Benefits

• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 51-100 employees