Polaris Pharmacy Services

Billing Specialist

• Process third-party billing, claim resolution, and adjudication
• Manage FFS and PPS billing
• Conduct census balancing and payor verification
• Verify insurance and Medicaid coverage
• Apply knowledge of Dual Coverage, MCR D, and Commercial Plans pertaining to Long Term Care
• Assist with 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 end-of-month summaries
• Understand and work with residents on account balances
• Follow all applicable government regulations, including HIPAA
• Perform other duties as deemed necessary by the Billing Manager