Medical Billing Manager

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.

Job Purpose:
The Medical Billing Manager at Polaris Pharmacy Services is responsible for overseeing the entire billing process, ensuring efficient charge entry, claims submission, payment posting, and appeals management. The role requires a deep understanding of healthcare billing, payer guidelines, and compliance standards to optimize revenue cycle operations and support the financial health of the organization.

Key Responsibilities:

• Oversee and manage the billing process, including charge entry, claims submission, payment posting, and appeals, ensuring accuracy and compliance.
• Analyze claim rejections and accounts receivable aging's to identify trends and implement corrective actions.
• Supervise, train, and mentor billing specialists to enhance team performance and professional development.
• Maintain up-to-date knowledge of Medicare, Medicaid, and other payer guidelines, ensuring adherence to HIPAA and coding standards.
• Collaborate with other departments to streamline billing operations and improve overall efficiency.
• Develop and implement policies and procedures to enhance billing operations and ensure compliance with regulatory requirements.
• Prepare regular reports on billing activities and performance metrics for management review.

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 Education:

• A bachelor's degree in healthcare administration, finance, or business is highly preferred

Required Experience:

• Minimum of 5 years of experience in medical billing or healthcare revenue cycle management
• Proven track record of overseeing billing processes, including charge entry, claims submission, payment posting, and appeals
• Experience in analyzing claim rejections and accounts receivable aging's
• Previous experience in supervising, training, and mentoring billing specialists

Required Skills and Abilities:

• Comprehensive knowledge of Medicare, Medicaid, and payer guidelines
• Strong understanding and adherence to HIPAA and coding standards
• Excellent analytical skills to evaluate billing processes and identify areas for improvement
• Exceptional leadership and team management skills
• Proficiency in medical billing software and electronic health record systems
• Effective communication skills, both written and verbal, to interact with team members and external stakeholders
• Ability to work independently and make informed decisions in a fast-paced environment

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 day
• The 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