Remote Pharmacy Billing Specialist – Infusion & Specialty

GeBBS Healthcare Solutions; United States; On-site; USD 30,000 - 34,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Life insurance

401k

Paid Time Off

Job summary

GeBBS Healthcare Solutions is seeking a Billing Specialist to manage timely preparation, review, and submission of medical and pharmacy claims across Ambulatory Infusion Centers, Specialty Pharmacy, and Home Infusion services.

The role requires reviewing documentation, ensuring compliance with payer guidelines, and collaborating with intake, authorization, and AR teams to maximize reimbursement and minimize denials. Remote work with limited travel may be involved.

Qualifications

• High School Diploma or GED required.
• Minimum 1 year of healthcare billing experience required.
• Minimum 1 year CareTend experience required.
• Strong CareTend knowledge with responsibility for claim validation, coding, authorization review, claim submission, and resolving rejections/rebills
• Experience in infusion services, specialty pharmacy, physician billing, hospital outpatient billing, or home infusion preferred.

Responsibilities

• Review patient accounts for billing readiness and prepare/submit claims to payers.
• Verify documentation, authorizations, and charges before submission.
• Ensure claims submitted within payer filing deadlines and monitor for rejections.
• Bill infusion therapies and review codes, HCPCS, CPT, ICD-10, modifiers, and service locations.
• Submit specialty pharmacy and home infusion claims per payer requirements.
• Research and correct rejected claims and resubmit within turnaround times.
• Coordinate with intake, authorization, and AR teams to prevent delays.
• Maintain HIPAA compliance and follow payer requirements.

Skills

Healthcare billing

Attention to detail

Time management

HIPAA compliance

Education

High School Diploma or GED

Tools

CareTend

EMR systems

Excel

Billing software

Job description

GeBBS Healthcare Solutions is seeking a Billing Specialist to manage timely preparation, review, and submission of medical and pharmacy claims across Ambulatory Infusion Centers, Specialty Pharmacy, and Home Infusion services.

The role requires reviewing documentation, ensuring compliance with payer guidelines, and collaborating with intake, authorization, and AR teams to maximize reimbursement and minimize denials. Remote work with limited travel may be involved.