Infusion Billing Specialist
Core
Manage claims and reimbursement activities for home infusion services, including medications, nursing services, and supplies.
Role type
Medical billing specialist
Builds
Clean claim submissions and accurate payment posting for home infusion therapy
Domain
Healthcare / Medical billing
Required skills
Medical billing, Insurance claims processing, Medicare/Medicaid billing, Payment posting, Regulatory compliance, Data entry
Preferred skills
Home infusion billing experience, CareTend/CPR+ systems knowledge, 5+ years experience
Technologies
Microsoft Office, CareTend, CPR+
Responsibilities
Prepare and submit insurance claims for home infusion services, Process electronic pharmacy claims for Medicare Part D, Medicaid, and commercial insurance plans, Review supporting documentation to confirm alignment between billed services and coding, Respond to billing inquiries and resolve payment discrepancies, Maintain current knowledge of payer contracts and billing requirements, Complete billing-related data entry and administrative duties
Seniority
Mid-level, individual contributor