About Job
- Oversee the entire billing cycle for home infusion services, ensuring all claims are submitted accurately and promptly
- Monitor and track the status of submitted claims to ensure timely reimbursement
- Address and resolve any discrepancies or issues that arise during the billing process
- Investigate and resolve complex reimbursement issues, including denied or underpaid claims
- Work closely with insurance companies, patients, and healthcare providers to gather necessary documentation and information
- Appeal denied claims and follow up until resolution is achieved
- Keep up to date with changes in healthcare regulations and reimbursement policies
- Ensure compliance with all relevant laws and guidelines to avoid penalties and ensure smooth operations
- Implement necessary changes to billing and reimbursement processes in response to regulatory updates
- Analyze reimbursement data to identify trends and areas for improvement
- Develop and implement strategies to maximize revenue and reduce claim denials
- Monitor key performance indicators (KPIs) related to reimbursement and report findings to management
- Work closely with cross-functional teams to achieve service and sales goals
- Participate in meetings and projects aimed at improving overall service delivery and customer satisfaction
- Provide insights and recommendations based on reimbursement data to support decision-making and strategic planning
- High School diploma required; Equivalent education and experience will be considered
- At least 2 years of experience in home infusion billing
- 2 years of experience ensuring compliance with HIPAA standards
- Front End Billing experience
- Proficient in using computers, particularly Microsoft Excel and Word
- Highly motivated in managing billing, claims, and documentation
- Strong communication skills and adept at problem-solving
Professional Field

Patient Focus
Diagnoses
Avoidant Personality Disorder
Gender Dysphoria
Issues
Aging
Pregnancy, Prenatal, Postpartum
Therapeutic Approach
Methodologies
ECT
Practice Specifics
Settings
Faith-based organizations
Research Facilities/Labs/Clinical Trials
Telehealth/Telemedicine
Home Health/In-home
Military
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