Home Infusion Business Coordinator
A Day in the Life
Serve as the Pharmacy Home Infusion Business Coordinator, overseeing the financial operations of the Home Infusion program and ensuring services are set up to maximize reimbursement while accommodating each patient’s clinical needs and insurance coverage.
Ensures compliance with Munson Medical Center and Home Health policies, Medicare enrollment and revalidation, CHAP accreditation standards, and all payer regulatory requirements.
Leads and manages the full Home Infusion revenue cycle, including registration, verification, authorizations, charge entry, CMNs, billing, collections, compliance, reporting, and chargemaster maintenance.
Negotiates, maintains, and monitors third-party payer contracts, ensuring timely renewals, modifications for new medications, and financial benefit to the organization; audits claims and resolves denials to optimize reimbursement.
Provides operational and financial leadership, including monthly financial reporting, budget forecasting, staff training and support, policy and process development, quality improvement collaboration, and coordination with clinical teams and hospital case managers.
Qualifications
- What’s Required
- Bachelor's degree in Business Administration, Accounting, Information Systems, health related field or equivalent work-related experience will be considered
- Five years working in the health care field especially in Revenue cycle, Home Infusion Therapy, Third Party Contracting experience highly desired
Additional Information
- Schedule
- Monday-Friday 8:00am-4:30pm