Reimbursement Coordinator, Home Infusion

BELEN Network; United States; On-site; USD 39,000 - 48,000; Full time

Job summary

An established industry player is seeking a dedicated Home Infusion Reimbursement Coordinator. This role is pivotal in ensuring accurate billing and reimbursement for home infusion services. You will navigate the complexities of billing and claims while collaborating with various teams to optimize revenue. The ideal candidate will have at least 2 years of experience in home infusion billing and a strong understanding of HIPAA compliance. Join a dynamic team where your expertise will contribute to enhancing patient care and service excellence in the healthcare sector.

Qualifications

• Minimum of 2 years of home infusion billing experience required.
• Proficient in Microsoft Excel and Word for billing and documentation.
• Strong communication skills and problem-solving abilities are essential.

Responsibilities

• Manage billing procedures and resolve complex claims for home infusion services.
• Collaborate with cross-functional teams to optimize revenue outcomes.
• Ensure compliance with regulatory changes in billing and claims.

Skills

Home Infusion Billing

HIPAA Compliance

Claims Management

Document Management

Communication

Problem-Solving

Microsoft Excel

Microsoft Word

Education

High School Diploma or Equivalent

Tools

Microsoft Products

Job description

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This range is provided by BELEN Network. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$39,000.00/yr - $48,000.00/yr

Job Description

Are you an experienced professional with a minimum of 2 years of home infusion billing and accounts receivable experience? If so, we have an exciting opportunity for you as a Home Infusion Reimbursement Coordinator. In this role, you will be a key player in ensuring accurate and timely reimbursement for home infusion services navigating the complexities of billing, claims, and compliance.

Key Responsibilities

As a Home Infusion Reimbursement Coordinator, your primary focus will be on orchestrating the reimbursement process for home infusion services. This includes managing billing procedures, resolving complex claims, and staying abreast of regulatory changes to maintain compliance. Engage with internal and external stakeholders to streamline processes and optimize revenue outcomes. Your role will also involve collaborating with cross-functional teams to achieve service and sales goals.

Required

Let’s talk about Qualifications and Experience

• Minimum of 2 years of home infusion billing experience.
• 2 years of experience in maintaining HIPAA standards.
• Proficient in using computers and Microsoft products (Excel and Word).
• Strong motivation in billing, claims, and document management.
• Effective communication skills and problem-solving abilities.
• High school diploma required; equivalent education and experience considered.
  
  

Preferred

• Broad knowledge of routines and procedures.
• Proven track record of working towards and exceeding metrics.
  
  

PMO Notes

• We highly recommend posting the job under a different title. Some examples: "Billing Coordinator, Home Infusion"; "Payor Analyst, Home Infusion"; "Reimbursement Coordinator, Home Infusion"; "RCM Specialist, Home Infusion."
• The candidate must have Home Infusion experience. We are looking for at least 2 years of experience as they have to understand the home infusion reimbursement process.
• At least 1 year of experience must be recent/current exp. In addition to Home Infusion experience, they should have knowledge from a Front-End Billing perspective.
• The team clarified that the Front-End Billing exp they need is not intake (qualifying patients, test claims, etc.). They need the skillset to create infusion claims (bill medical payors, not the RX payors/NCPP). In an ideal world, they also have knowledge of Collections. This is a plus but not required. Both Home Infusion and Front-End Billing experience are required.
• Soft Skills: The candidate should be motivated, have critical thinking skills, and be able to take ownership of their job duties. Recommended to target candidates from CVS Health/Quorum, as their home infusion departments are closing.
  
  

Must Have

• High school diploma required; equivalent education and experience considered.
• 2 years of home infusion billing experience.
• 2 years of experience in home infusion reimbursement process.
• 2 years of experience in maintaining HIPAA standards.
• Experience in Front-End Billing.
• Proficient in using computers and Microsoft products (Excel and Word).
• Strong motivation in billing, claims, and document management.
  
  

RK

Skills: home infusion billing,hipaa compliance,payors,word,problem-solving,billing procedures,microsoft word,document management,communication,home infusion,claims management,microsoft products,management,skills,hipaa,microsoft excel,excel,microsoft

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Business Consulting and Services

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