Infusion Reimbursement Specialist

Job not on LinkedIn

🔥 15 hours ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Prochant

WebsiteLinkedInAll Job Openings

501 - 1000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

☁️ SaaS

Healthcare • Healthcare Insurance • SaaS

Prochant is a company specializing in optimizing revenue cycle management (RCM) for the home-based care sector, including home medical equipment, infusion, and home health care. They leverage innovative technology and expert teams to improve financial performance and efficiency for their clients. Prochant's services cover intake, billing, and collections with flexible partnership offerings to meet diverse operational needs. Their proprietary Prochant Pulse technology includes analytics and AI-driven workflow management for enhanced decision-making and productivity. By handling RCM processes, Prochant allows clients to focus more on patient care and operational success.

📋 Description

• Ensure receipt and validity of all documents needed to prepare and submit billing and claims accurately. • Understand benefits verification and prior authorization, date spans, and HCPC unit calculations. • Submit insurance claims accurately and on time to government, non-government, and third-party payors. • Research claim denials and resolve associated accounts receivable in a timely manner. • Conduct frequent phone contact with provider representatives, third-party customer service representatives, pharmacy staff, and case managers as needed. • Provide, submit, and coordinate necessary documentation to comply with payor requirements. • Collaborate with internal teams, communicate with external parties, and exchange information with other business services as needed.

🎯 Requirements

• High school diploma or GED • Deep knowledge and experience billing and collecting major medical claims for home infusion, ambulatory infusion, and/or specialty pharmacy. • Two (2)+ years directly related Infusion and DME experience preferred. • Experience using Bright Tree, CPR+, CareTend, or WeInfuse software. • General knowledge of HCPCS, NDC, CPT, and ICD-10 coding. • Ability to demonstrate a clear understanding of CMS 1500 and 837 claim formatting and billing process.

🏖️ Benefits

• Health Insurance • Gap Insurance • Dental Insurance • Vision Insurance • Short Term / Long Term Disability (company paid) • Term Life Insurance (company paid, employee can elect additional) • Full suite of CHUBB supplemental insurance plans, including: Disability Income, Level Term Life, Accident Insurance, & Critical Illness Insurance • Floating holidays and paid time off • Pre-Paid Legal • 401K with company match