Overview
This healthcare organization specializes in infusion therapy, focusing on patient-centered services that enhance clarity, support, and connection. The team works to improve patient experiences by enabling faster therapy initiation, providing dedicated care coordination, and fostering collaboration among clinicians and partners. The organization is committed to inclusion, diversity, equity, and advancement, creating a culture where all team members feel valued.
Responsibilities
- Prepare and submit insurance claims for home infusion services, including medications, nursing, and supplies
- Process electronic pharmacy claims to Medicare Part D, Medicaid, and commercial insurance plans
- Verify that prescription reimbursement data is complete, accurate, and submitted before weekly and month-end close
- Ensure documentation aligns with billed services, codes, and expected reimbursements
- Review and apply payments accurately to patient accounts through final resolution
- Maintain knowledge of payer contracts, coverage criteria, and reimbursement guidelines
- Address billing inquiries and resolve discrepancies professionally
- Stay updated on billing regulations, coding guidelines, and payer requirements
- Collaborate with clearinghouses and billing systems to support clean claims and efficient workflows
- Assist with data entry and other clerical billing tasks as needed
Requirements
- High school diploma or GED
- Minimum of two years of medical billing and collections experience
- Experience in customer service for internal and external stakeholders
- Basic proficiency in Microsoft Office (Word, Excel, PowerPoint)
Preferred Qualifications
- Five or more years of medical billing and collections experience
- Prior home infusion therapy billing experience
- Experience with billing systems such as CareTend or CPR+
Compensation and Benefits
- Pay range: $25–$27 USD per hour
Equal Opportunity
The employer is an equal opportunity organization that celebrates diversity and is committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin.