Home Infusion Billing Specialist

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $25 - $30 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

📊 Billing Specialist

🚫👨‍🎓 No degree required

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Infusion for Health

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2015

🏥 Healthcare

💊 Pharmaceuticals

🔬 Science

💰 $50M Venture Round - Infusion for Health on 2021-11

Healthcare • Pharmaceuticals • Science

Infusion for Health is a network of ambulatory infusion centers and a home infusion and specialty pharmacy that provides clinician-led infusion and injection therapies for patients with chronic and autoimmune conditions. They offer private-suite clinic care and home-based treatments, manage referrals and drug orders for providers and health plans, and operate clinical research programs to support specialty therapies and patient care. The organization focuses on patient-centered, safety-driven infusion services across multiple U. S. locations.

📋 Description

• Review home infusion charges, billing records, orders, authorizations, and supporting documentation for completeness and accuracy • Prepare and submit clean claims to Medicare, Medicaid, and commercial payers • Bill home infusion medications, supplies, administration services, and applicable per diem or related services • Apply HCPCS/CPT codes, units, modifiers, NDC information, place of service, and other claim elements • Validate drug quantities, dosage units, dates of service, and billing units • Identify missing or inconsistent information and coordinate corrections before submission • Review payer-specific billing guidelines, fee schedules, coverage requirements, and claim submission rules • Validate authorizations, referrals, and other payer requirements • Confirm payer, member, provider, and service information is accurate • Review and resolve claim rejections and denials • Correct billing errors and resubmit claims when appropriate • Research payer responses and denial codes • Communicate recurring denial trends and billing issues to the Billing Lead • Maintain accurate billing notes and claim documentation • Perform billing quality checks and participate in internal billing audits • Follow billing SOPs, payer requirements, Revenue Cycle policies, and privacy requirements • Collaborate with Billing, Accounts Receivable, Authorization, Pharmacy, Operations, and other departments • Assist with billing workflow improvements and clean claim rate increases • Participate in training and process updates related to home infusion billing and payer requirements

🎯 Requirements

• High school diploma or equivalent required • Minimum 2 years of home infusion billing experience required • Experience billing Medicare, Medicaid, and commercial insurance plans required • Previous experience using CareTEND for home infusion billing required • Experience with HCPCS/CPT coding, claim submission, payer guidelines, and denial resolution required • Working knowledge of medical billing processes and payer requirements, with an understanding of home infusion billing practices • Strong attention to detail and ability to identify discrepancies in billing information, units, charges, and claim data • Ability to manage multiple priorities and meet daily and monthly billing deadlines • Strong analytical and problem-solving skills, particularly when researching payer denials and claim issues • Effective written and verbal communication skills and the ability to collaborate across multiple departments • Ability to work independently in a remote environment while maintaining productivity, accuracy, and accountability • Proficiency with billing systems, payer portals, Microsoft Office, and other Revenue Cycle technology • Monday to Friday 8-5