Infusion Billing Specialist
New
J
JobgetherHealthcare billing
Based in the United States, 8:00 AM–5:00 PM ESTFull-TimeJunior
Salary25 - 27 USD per hour
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Job Details
- Experience
- At least 2 years of medical billing and collections experience. Preferred: 5 or more years of medical billing and collections experience.
- Required Skills
- Microsoft ExcelCustomer servicePowerPoint
Requirements
- High school diploma or GED.
- At least 2 years of medical billing and collections experience.
- Customer service experience with internal and external stakeholders.
- Basic proficiency with Microsoft Word, Excel, and PowerPoint.
- Strong attention to detail and analytical skills to maintain financial accuracy.
- Professional written and verbal communication skills.
- Ability to work in a fast-paced, deadline-driven environment, prioritize competing demands, and manage multiple tasks.
- Ability to exercise ownership, accountability, and sound judgment, and to seek guidance when appropriate.
- Preferred: 5 or more years of medical billing and collections experience.
- Preferred: Previous home infusion or infusion therapy billing experience.
- Preferred: Familiarity with CareTend, CPR+, or similar healthcare billing systems.
- Ability to meet occasional physical requirements, including lifting or moving up to 25 pounds.
Responsibilities
- Prepare and submit insurance claims for home infusion medications, nursing services, and supplies.
- Process electronic pharmacy claims for Medicare Part D, Medicaid, and commercial insurance plans.
- Enter complete and accurate prescription reimbursement information ahead of weekly and month-end close deadlines.
- Review supporting documentation for alignment between billed services, coding, and expected reimbursement.
- Post and apply payments to patient accounts through final resolution.
- Maintain current knowledge of payer contracts, coverage criteria, reimbursement guidelines, and billing requirements.
- Respond to billing inquiries and resolve payment discrepancies.
- Work with clearinghouses and billing systems to support clean claims, efficient workflows, and timely reimbursement.
- Collaborate with revenue cycle, pharmacy, clinical, and operations colleagues to support patient access and continuity of therapy.
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