Home Infusion Reimbursement Specialist

WellSky Financial Services; United States; Remote; USD 45,000 - 65,000; Full time

Benefits offered by this job

Medical & dental insurance

Mental health support

Paid time off + holidays

100% vested 401(k)

Educational assistance

Job summary

WellSky is seeking a Reimbursement Coordinator for its Home Infusion team. The role focuses on reimbursement processes, claims submission, payment posting, and follow-up to ensure timely, accurate payments for WellSky clients. The ideal candidate has Medicare billing experience and familiarity with DME/POS reimbursement.

Responsibilities include QA of charges, claim status tracking, and managing denials and write-offs. Commitment to accuracy and adherence to security policies is essential.

Qualifications

• GED or High School Diploma.
• 1–2 years of relevant work experience.
• Experience with Medicare billing and collections.
• Knowledge of home infusion or DME/POS reimbursement.
• Working knowledge of Medicare LCDs and NCDs.

Responsibilities

• Obtain billing information from clients to generate claims and QA charges.
• Submit claims to insurance within timely filing periods and track status.
• Use reports to identify follow-up tasks and check claim status with payers.
• Research claim payments, partial payments and over-payments; escalate denials after 60 days.
• Perform collection follow-up on primary/secondary claims and patient balances.
• Prepare write-off forms when bad debt is identified and describe reasons.
• Perform other duties as assigned.

Skills

Medicare billing

Claims processing

Medical collections

Home infusion reimbursement

LCDs & NCDs knowledge

Education

GED or High School Diploma

Job description

WellSky is seeking a Reimbursement Coordinator for its Home Infusion team. The role focuses on reimbursement processes, claims submission, payment posting, and follow-up to ensure timely, accurate payments for WellSky clients. The ideal candidate has Medicare billing experience and familiarity with DME/POS reimbursement.

Responsibilities include QA of charges, claim status tracking, and managing denials and write-offs. Commitment to accuracy and adherence to security policies is essential.