Reimbursement Coordinator, Home Infusion
AleraInfoTech · Peachtree Corners, GA · 2 mo ago
Healthcare$52k/yrFull-time
Location: Peachtree Corners, GA | Type: Direct hire | Work mode: Remote only
About the role
We are seeking an experienced Home Infusion Reimbursement Coordinator to ensure accurate and timely reimbursement for home infusion services. This role involves managing billing procedures, resolving complex claims, and maintaining compliance with regulatory changes. You will collaborate with internal and external stakeholders to streamline processes, optimize revenue outcomes, and support cross-functional teams in achieving service and sales goals.
Responsibilities
- Orchestrate the reimbursement process for home infusion services, including billing and claims management.
- Resolve complex claims and ensure compliance with regulatory standards.
- Engage with stakeholders to streamline processes and improve revenue outcomes.
- Collaborate with cross-functional teams to meet service and sales objectives.
- Create infusion claims for medical payors (not RX payors/NCPP).
- Focus on Accounts Receivable and Payor Collections (not Patient Collections).
Requirements
- Minimum of 2 years of home infusion billing experience.
- 2 years of experience in the home infusion reimbursement process.
- 2 years of experience maintaining HIPAA standards.
- Experience in Front-End Billing (creating infusion claims, not intake/qualifying patients).
- Relevant experience in Accounts Receivable and Payor Collections.
- Proficiency in Microsoft products (Excel and Word).
- Strong motivation in billing, claims, and document management.
- Effective communication, problem-solving, and critical thinking skills.
- High school diploma required; equivalent education and experience considered.
Preferred Qualifications
- Broad knowledge of billing routines and procedures.
- Proven track record of exceeding performance metrics.
- Collections experience (a plus but not required).
- Experience with candidates from CVS Health/Quorum home infusion departments.
Pay
Maximum salary of $52,000, compensated on an hourly basis.