Infusion Reimbursement Specialist: Claims Expert & Impact

Prochant US; United States; On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Health Insurance

Gap Insurance

Dental Insurance

Vision Insurance

Short Term / Long Term Disability (em▼

Job summary

Prochant is seeking an Infusion Reimbursement Specialist to manage timely and accurate processing of infusion-related claims in the U.S. healthcare sector.

This role requires expertise in benefits verification, authorization, coding (HCPCS, NDC, CPT, ICD-10), and HIPAA compliance, with focus on clean claim submissions to payors. The ideal candidate will have 2+ years in infusion/DME billing, hands-on experience with Bright Tree, CPR+, CareTend, or WeInfuse, and strong documentation practices.

Qualifications

• High school diploma or GED.
• Deep knowledge and experience billing and collecting major medical claims for home infusion, ambulatory infusion, and/or specialty pharmacy.
• 2+ years infusion and DME experience preferred.
• Experience using Bright Tree, CPR+, CareTend, or WeInfuse software.
• General knowledge of HCPCS, NDC, CPT, and ICD-10 coding.
• CMS 1500 and 837 claim formatting and billing process understood.

Responsibilities

• Ensure receipt and validity of documents needed to prepare and submit all billing and claims accurately.
• Understand benefits verification, prior authorization, date spans, and HCPC unit calculations.
• Submit insurance claims timely to government, non-government, and third-party payors.
• Research claim denials and resolve AR in a timely manner.
• Conduct frequent phone contact with provider representatives, third party customers, pharmacy staff, and case managers as needed.
• Coordinate all necessary documentation to be in compliance with payor requirements.

Skills

Benefits verification

Prior authorization

Claims submission

Provider communication

Education

High school diploma or GED

Tools

Bright Tree

CPR+

CareTend

WeInfuse

Job description

Prochant is seeking an Infusion Reimbursement Specialist to manage timely and accurate processing of infusion-related claims in the U.S. healthcare sector.

This role requires expertise in benefits verification, authorization, coding (HCPCS, NDC, CPT, ICD-10), and HIPAA compliance, with focus on clean claim submissions to payors. The ideal candidate will have 2+ years in infusion/DME billing, hands-on experience with Bright Tree, CPR+, CareTend, or WeInfuse, and strong documentation practices.