Polaris Pharmacy Services logo
Polaris Pharmacy Services

Elevating pharmacy care

Billing Specialist

Billing SpecialistBilling SpecialistFull TimeRemoteMid LevelTeam 1,001-5,000Since 2015H1B No SponsorCompany SiteLinkedIn

Location

Florida

Posted

10 days ago

Salary

0

Seniority

Mid Level

High School2 yrs expEnglish

Job Description

Billing Specialist

Polaris Pharmacy Services

• 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

Job 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
  • 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

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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Subrogation Specialist - Healthcare

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