Experienced Home Infusion Billing Specialist

Oso Home Care Inc.; California (MO); On-site; USD 60,000 - 85,000; Full time

Job summary

Oso Home Care Inc. is seeking an experienced Home Infusion Biller to join our Billing & Reimbursement Department in Southern California. You will handle billing for home infusion pharmacy, infusion nursing visits, and ambulatory infusion center (AIC) services, ensuring accuracy and timely reimbursement.

The role requires familiarity with Medicare, Medi-Cal, and commercial payers, along with documentation controls, denial management, and payer follow-up to optimize revenue cycle performance.

Qualifications

• 2 years of medical billing or collections experience in Home Infusion, Specialty Pharmacy, Home Health, or Infusion Services.
• Experience with CPR+ (Mediware) or CareTend preferred.
• Experience billing Medicare, Medi-Cal, Managed Medi-Cal, Medicare Advantage, PPO, HMO, and commercial insurance plans.

Responsibilities

• Prepare, review, and submit accurate electronic and paper claims for home infusion pharmacy services, infusion nursing visits, ambulatory infusion center (AIC) treatments, specialty medications, and related services.
• Ensure all billing is supported by physician orders, nursing documentation, delivery records, medication administration records, and required clinical documentation.
• Submit claims utilizing appropriate HCPCS, CPT, ICD-10-CM, NDC, modifiers, and payer-specific billing requirements.
• Review claims for completeness and accuracy prior to submission.
• Monitor claim acceptance and payment status through payer portals and electronic remittance systems.
• Research denied and partially paid claims and prepare corrected claims for resubmission.
• Maintain detailed documentation of all payer communications and account activity.

Skills

Medical Billing

Revenue Cycle

HIPAA Compliance

Education

Associate degree in Medical Billing / Healthcare Administration

Tools

CPR+ (Mediware)

CareTend

Job description

Oso Home Care Inc. is seeking an experienced Home Infusion Biller to join our Billing & Reimbursement Department in Southern California. You will handle billing for home infusion pharmacy, infusion nursing visits, and ambulatory infusion center (AIC) services, ensuring accuracy and timely reimbursement.

The role requires familiarity with Medicare, Medi-Cal, and commercial payers, along with documentation controls, denial management, and payer follow-up to optimize revenue cycle performance.