Infusion Billing Specialist

Accountabilities: Prepare and submit insurance claims for home infusion services, including medications, nursing services, and supplies. Process electronic pharmacy claims for Medicare Part D, Medicaid, and commercial insurance plans. Ensure prescription reimbursement information is complete, accurate, and entered on time ahead of weekly and month-end close deadlines. Review supporting documentation to confirm alignment between billed services, coding, and expected reimbursement. Review, post, and accurately apply payments to patient accounts through final resolution. Maintain current knowledge of payer contracts, coverage criteria, reimbursement guidelines, and applicable billing requirements. Respond to billing inquiries and resolve payment discrepancies professionally, accurately, and efficiently. Stay informed about changes to billing regulations, coding guidelines, and payer requirements. Work with clearinghouses and billing systems to support clean claims, efficient workflows, and timely reimbursement. Complete billing-related data entry and other administrative or clerical duties as needed. Collaborate with revenue cycle, pharmacy, clinical, and operations colleagues to support patient access and continuity of therapy. Participate in required annual legal and ethical compliance training and follow applicable policies, procedures, and compliance standards. Demonstrate integrity, compassion, accountability, and a collaborative approach, while contributing to quality and continuous improvement. Requirements High school diploma or GED required. At least 2 years of medical billing and collections experience. Experience providing customer service to internal and external stakeholders. Basic proficiency with Microsoft Office applications, including Word, Excel, and PowerPoint. Strong attention to detail and analytical skills, with the ability to maintain financial accuracy. Customer-service-oriented approach and professional communication skills. Strong written and verbal communication abilities. Ability to work effectively in a fast-paced, deadline-driven environment, prioritize competing demands, and manage multiple tasks. Ownership, accountability, sound judgment, and the ability to seek guidance when appropriate. Understanding of how accurate and timely billing supports patient access to care. Preferred: 5 or more years of medical billing and collections experience. Preferred: Previous experience with home infusion or infusion therapy billing. Preferred: Familiarity with CareTend, CPR+, or similar healthcare billing systems. Commitment to ethical conduct, legal and regulatory compliance, patient-first service, and respectful collaboration. Ability to meet the role's physical requirements, which may occasionally include standing, walking, sitting, reaching, climbing stairs, bending, kneeling, crouching, crawling, and lifting or moving up to 25 pounds. Reasonable accommodations may be made for individuals with disabilities. Benefits Pay rate: $25–$27 USD per hour. Remote work arrangement. Consistent Monday–Friday schedule, 8:00 AM–5:00 PM EST. Purpose-driven work that directly supports patient access to infusion care. Patient-first, clinician-led working environment. Collaboration across revenue cycle, pharmacy, clinical, and operations teams. Opportunities to grow alongside an organization focused on improving infusion care. Inclusive workplace culture emphasizing diversity, equity, advancement, and employee contribution