Remote Home Infusion Billing Specialist

Infusion for Health; Northern (KY); Hybrid; USD 52,000 - 62,000; Full time

Job summary

Infusion For Health is seeking a Home Infusion Billing Specialist to manage accurate claim submission for home infusion services, medications, and supplies. This role collaborates with billing, authorization, pharmacy, operations, and AR to resolve issues and ensure timely reimbursement.

Responsibilities include reviewing charges, submitting clean claims to Medicare/Medicaid/commercial payers, applying HCPCS/CPT codes, verifying units and dates, and ensuring documentation meets payer

Qualifications

• High school diploma or equivalent required; healthcare/business education preferred.
• Minimum 2 years of home infusion billing experience required.
• Experience billing Medicare, Medicaid, and commercial insurance plans required.
• Previous experience using CareTEND for home infusion billing required.
• Experience with HCPCS/CPT coding, claim submission, payer guidelines, and denial resolution required.

Responsibilities

• Review home 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 appropriate HCPCS/CPT codes, units, modifiers, NDC information, place of service, and other claim elements when 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.

Skills

HCPCS/CPT coding

Billing accuracy

Analytical/problem solving

Effective communication

Ability to manage multiple priorities

Education

High school diploma or equivalent

Tools

CareTEND

Job description

Infusion For Health is seeking a Home Infusion Billing Specialist to manage accurate claim submission for home infusion services, medications, and supplies. This role collaborates with billing, authorization, pharmacy, operations, and AR to resolve issues and ensure timely reimbursement.

Responsibilities include reviewing charges, submitting clean claims to Medicare/Medicaid/commercial payers, applying HCPCS/CPT codes, verifying units and dates, and ensuring documentation meets payer