Scott, with a nine year-old boat, the macerator pump probably needs to be rebuilt (if it hasn't ever been rebuilt). Most of them have rubber impellers inside that should be changed every 3-5 years, as a matter of routine maintenance, just like changing the impellers on your cooling water pumps for your engines.
Kelly, it isn't a good idea to run the macerator pump while the boat is running, as you need to be able to hear the pump as it runs. Most macerator pumps are rated for 6-8 gallons per minute, so with a 28 gallon tank, if the pump is working properly, it shouldn't have to run more than about 5 minutes. when the tank is empty, you'll hear the sound of the pump change, it'll speed up and slow down, back and forth for a minute or so. That's the time to turn it off, as it'll be running dry and burning out the impeller if you continue running it. If you're concerned about emptying all of the tank's contents in one spot in the water, crank up the engines for a few minutes, then kill the engines and pump out the tank while the boat is coasting. But first be sure that there are no other boats in the immediate area so you don't risk a collision.