Billing Specialist - Remote

WHO WE AREAt 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.

JOB SUMMARY:

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 LTCPrepare 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 HIPAAOther duties as deemed necessary by Billing Manager QUALIFICATIONS/

COMPETENCIES:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

REQUIRED SKILLS/ABILITIES:

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 EDUCATION and/or

EXPERIENCE:

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 The physical demands described here are representative of those that should be met by an employee to successfully perform the essential functions of this job:

May sit or stand seven (7) to ten (10) hours per dayThe 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 HOLIDAY & PTO 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 for full time Employees 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