Home Infusion Reimbursement Coordinator

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.

Let's talk about Qualifications and Experience

Required:

• 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:

• This is a high-priority role.
• Team is looking to fill one headcount.
• Important Notes: Priority: Strong, experienced home infusion billers. Candidates with basic infusion exposure + AR background can sometimes be trained. However, this role is specifically for billing, not general infusion support. Brightree experience is important due to the complexity of infusion claims. Many resumes are being rejected due to lack of true home infusion billing experience. Candidates with partial experience may fit collections or intake, but not this role.
• When submitting your candidates, please include their answers to the 5 prescreen questions.
• Please ensure you are asking the pre-screening questions LIVE instead of via email.
• We want to know that the candidates are able to be successful in this position and knowing basic Home Infusion will help with the process.
• It is a remote position; the candidate can be located anywhere in the U.S.
• No time zone preference.
• The approved compensation range is up to $25/hour.
• This pay rate is firm.
• We highly recommend posting the job under a different title. Some examples: "Billing Coordinator, Home Infusion" OR "Payor Analyst, Home Infusion" OR "Reimbursement Coordinator, Home Infusion" OR "RCM Specialist, Home Infusion"
• 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.
• Emphasize reaching out directly to potential candidates, especially via LinkedIn searches and personalized messages.

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.
• This role primarily focuses on Accounts Receivable, so candidates should have relevant experience in this area.
• Accounts Receivable and Collections (specifically Payor Collections, not Patient Collections).
• Experience in Front-End Billing.
• Proficient in using computers and Microsoft products (Excel and Word).
• Strong motivation in billing, claims, and document management.