Remote Infusion Reimbursement Specialist

PromptCare, Inc.; Louisiana; Remote; USD 50,000 - 75,000; Full time

Benefits offered by this job

Comprehensive Medical, Dental, and Vis

401(k) Plan with Company Match

Generous PTO: Vacation, Sick Time, etc

Life Insurance

Employee Assistance Program

Disability Insurance

Voluntary and engagement opportunities

Employee Referral Bonuses

Discounts on services

Job summary

PromptCare, Inc. is seeking a detail-oriented Reimbursement Specialist to manage all patient billing and collections in a remote setting.

You will handle insurance data collection, verification, and authorization, ensuring adherence to company policies throughout the revenue cycle in home infusion services. The role reports to the departmental lead or manager and is a full-time, non-exempt position with standard 40-hour weeks, Monday–Friday, suitable for candidates with healthcare billing

Qualifications

• 2-3 years of electronic claims submission and medical collections preferred
• Working knowledge of Medicare and Medicaid required
• Experience in billing/collections in DME, home infusion and/or enteral preferred
• Accounts receivable and accounting experience preferred
• Knowledge of CPR+ and Caretend software preferred

Responsibilities

• Collections of third-party payor accounts for assigned payers
• Ensure proper follow-up on revenue cycle related to reimbursement, including denials management and research
• Maintain and update documentation to assist Intake Team with policies for insurance plans
• Identify adjustments, payment trends and denials and escalate as needed
• Maintain confidentiality in all aspects of patient care and office environment
• Communicate changes regularly or as often as needed
• Collaborate with Intake & Reauthorization Specialist to ensure timely collections
• Assist the PBM and Billing Specialist with issues and end-of-month processes
• Field calls from patients regarding benefits, claims and balances
• Perform CPR+/Caretend related transactions accurately and timely

Skills

Infusion reimbursement

Billing and collections

Attention to detail

Communication

Education

High School Diploma

Tools

CPR+

Caretend

Job description

PromptCare, Inc. is seeking a detail-oriented Reimbursement Specialist to manage all patient billing and collections in a remote setting.

You will handle insurance data collection, verification, and authorization, ensuring adherence to company policies throughout the revenue cycle in home infusion services. The role reports to the departmental lead or manager and is a full-time, non-exempt position with standard 40-hour weeks, Monday–Friday, suitable for candidates with healthcare billing