Infusion Billing Pro: Claims & Compliance Expert

Infusion for Health; Idaho, United States, Northern America, Americas; Hybride; USD 30 000 - 36 000; Plein temps

Résumé du poste

Infusion for Health is seeking a detail-oriented Infusion Billing Specialist to join our administrative team. You will manage insurance claims, ensure accurate billing, and support revenue cycle activities for home infusion services.

Responsibilities include reviewing charges, preparing clean claims for Medicare, Medicaid, and commercial payers, applying HCPCS/CPT codes, and verifying quantities and dates of service. Strong payer knowledge and Waystar experience are required to succeed.

Qualifications

• Must have 2+ years infusion billing experience.
• Experience billing Medicare, Medicaid, and commercial insurance plans required.
• Previous experience using Waystar for infusion billing required.
• Experience with HCPCS/CPT coding, claim submission, payer guidelines, and denial resolution required.

Responsabilités

• Review infusion charges, billing records, orders, authorizations, and supporting documentation for completeness and accuracy prior to claim submission.
• Prepare and submit clean claims to Medicare, Medicaid, and commercial payers within established billing timelines.
• Accurately bill home infusion medications, supplies, administration services, and applicable per diem or related services based on payer requirements.
• Apply HCPCS/CPT codes, units, modifiers, NDC information, place of service, and other claim elements as required.
• Validate drug quantities, dosage units, dates of service, and billing units against the available billing documentation.
• Identify missing or inconsistent information that may result in claim rejection or denial and coordinate corrections before submission.

Connaissances

Medical billing

Insurance claim processing

HCPCS/CPT coding

Revenue cycle management

NDC verification

Attention to detail

Formation

High School Diploma or equivalent

Healthcare or business education preferred

Outils

Waystar

Description du poste

Infusion for Health is seeking a detail-oriented Infusion Billing Specialist to join our administrative team. You will manage insurance claims, ensure accurate billing, and support revenue cycle activities for home infusion services.

Responsibilities include reviewing charges, preparing clean claims for Medicare, Medicaid, and commercial payers, applying HCPCS/CPT codes, and verifying quantities and dates of service. Strong payer knowledge and Waystar experience are required to succeed.