Hybrid Reimbursement & Billing Specialist – Home Infusion

The-Promptcare-Companies,-Inc; New Providence (NJ); Hybrid; USD 64,000 - 75,000; Full time

Benefits offered by this job

Medical, Dental, Vision package

401(k) with company match

Paid time off and holidays

Life Insurance

Job summary

PromptCare is seeking a highly motivated Reimbursement Specialist to join our team. In this role, you will manage patient billing and collections, handle electronic claims submission, and ensure accurate insurance verification and authorization in a fast-paced home infusion environment.

Located in New Providence, NJ with a hybrid work arrangement, you will collaborate with Intake, Billing and Reauthorization teams to optimize revenue cycle performance.

Qualifications

• High School Diploma or equivalent.
• 2-3 years of experience in electronic claims submission and medical collections preferred
• Working knowledge of insurance plans including Medicare and Medicaid required
• Industry experience with billing/collections in DME, home infusion and/or enteral preferred
• Accounts receivable and accounting experience preferred
• Knowledge of CPR+ and/or Caretend software preferred

Responsibilities

• Collections of third-party payor accounts for assigned payers
• Ensure proper follow-up is performed on all aspects of the revenue cycle related to reimbursement, including projects, problem and issues escalation, denials management and research
• Maintain and update shared documentation to assist Intake Team with the various policies, rules and limitations for insurance plans
• Identify adjustments, payment trends and denials and ensure problems are escalated as necessary
• Maintain confidentiality in all aspects of patient care, employee activities and office environment
• Communicate changes regularly or as often as needed
• Work collaboratively with other department staff such as Intake & Reauthorization Specialist to ensure timely collections
• Assist the PBM and Billing Specialist with issues, billing backlogs and end-of-month processes
• Field and troubleshoot calls from patients regarding benefit, claims and patient balances
• Pro-actively seek resolutions to any billing issues that may arise
• Perform CPR+/Caretend related transactions accurately and timely
• Perform other duties as assigned

Skills

Infusion billing

Insurance collections

Education

High School Diploma or equivalent

Tools

CPR+

Caretend

Job description

PromptCare is seeking a highly motivated Reimbursement Specialist to join our team. In this role, you will manage patient billing and collections, handle electronic claims submission, and ensure accurate insurance verification and authorization in a fast-paced home infusion environment.

Located in New Providence, NJ with a hybrid work arrangement, you will collaborate with Intake, Billing and Reauthorization teams to optimize revenue cycle performance.