Billing Specialist

Overview

This role involves supporting infusion therapy access by managing the billing and reimbursement process for home infusion services. The position requires accuracy and accountability in submitting insurance claims, verifying reimbursement data, and resolving payment issues to ensure patients maintain uninterrupted therapy.

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 entered timely prior to weekly and month-end close
• Confirm documentation aligns with billed services, codes, and expected reimbursement
• Review payments received and apply them accurately to patient accounts through final resolution
• Maintain a strong understanding of payer contracts, coverage criteria, and reimbursement guidelines
• Address billing inquiries and resolve discrepancies professionally
• Stay current on billing regulations, coding guidelines, and payer requirements
• Work with clearinghouses and billing systems to support clean claims and efficient workflows
• Assist with data entry, administrative, and clerical billing tasks as needed

Requirements

• High school diploma or GED
• Minimum of two (2) years of experience in medical billing and collections
• Experience providing customer service to internal and external stakeholders
• Basic proficiency with Microsoft Office (Word, Excel, PowerPoint)
• Strong attention to detail and analytical thinking
• Customer-service mindset paired with financial accuracy
• Ability to work in a fast-paced, deadline-driven environment
• Clear written and verbal communication skills
• Ownership and care in work that directly affects patient access

Preferred Qualifications

• Five (5) or more years of medical billing and collections experience
• Prior home infusion therapy billing experience
• Experience with CareTend, CPR+, or similar billing systems

Compensation & Benefits

• Pay range: $25 - $27 USD per hour
• Flexible work options: on-site in Syracuse, NY or remote (subject to business needs)

Physical Demands

• May occasionally require standing, walking, sitting, using hands to handle objects, reaching, climbing stairs, balancing, stooping, kneeling, crouching, crawling, talking, or hearing
• May occasionally lift and/or move up to 25 pounds
• Vision requirements include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus

Additional Information

• Employees must participate annually in required legal and ethical compliance training
• Must adhere to all legal, ethical, and compliance policies and standards
• Expected to demonstrate integrity, dedication, compassion, and enthusiasm
• Ability to prioritize competing demands and manage multiple tasks effectively
• May assist or coordinate assistance to ensure access for individuals with disabilities

Equal Opportunity

The organization is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by law.