Home Infusion Reimbursement Specialist

4w4 weeks ago

Brightree

US · Full-time · $46,000 – $58,000

About this role

Are you an experienced infusion billing professional with a strong focus on accounts receivable and collections? We are seeking a Home Infusion Reimbursement & Collections Coordinator to play a critical role in driving timely cash collections and resolving complex reimbursement issues for home infusion services.

In this role, you will take ownership of assigned A/R pipelines, proactively work unpaid and underpaid claims, and partner closely with payers and internal stakeholders to maximize reimbursement. You will perform detailed payment and denial analysis to identify trends and root causes, and submit appeals and corrected claims with appropriate documentation.

You will collaborate with billing, intake, and clinical teams to reduce denials and improve first-pass yield while maintaining compliance with payer contracts, Medicare guidelines, and regulatory requirements. This position offers a dynamic environment where you can leverage your expertise in infusion reimbursement and denial management.

We are shaping the future at ResMed and recognize the need to build on and broaden existing skills. We offer holistic benefits packages, flexible work arrangements, and a culture that allows employees to grow personally and professionally.

Requirements

Minimum 2 years of home infusion billing and collections / accounts receivable experience
At least 2 years of experience maintaining HIPAA compliance
Strong understanding of infusion reimbursement, payer requirements, and denial management
Proficiency in Microsoft Excel and Word; comfortable navigating billing and AR systems
High attention to detail with strong analytical, problem-solving, and follow-up skills
Effective written and verbal communication skills, including payer and internal stakeholder interactions
Demonstrated success in meeting or exceeding collections, aging, or productivity metrics
Broad knowledge of revenue cycle workflows, billing routines, and infusion-related procedures

Responsibilities

Actively manage accounts receivable to ensure timely and accurate payment
Perform detailed payment and denial analysis to identify trends, root causes, and resolution strategies
Research, follow up on, and resolve unpaid, underpaid, denied, or appealed claims
Submit appeals and corrected claims with appropriate documentation to support reimbursement
Communicate directly with payers to resolve complex coverage, authorization, and reimbursement issues
Maintain compliance with payer contracts, Medicare guidelines, and regulatory requirements
Collaborate with billing, intake, and clinical teams to reduce denials and improve first-pass yield
Monitor collection metrics and productivity goals while consistently working toward or exceeding performance benchmarks

Benefits

Comprehensive medical, vision, and dental insurance
Life, AD&D, short-term and long-term disability insurance
Health Savings Account (HSA) and Flexible Spending Account (FSA)
401(k) and Employee Stock Purchase Plan (ESPP)
15 days Paid Time Off (PTO) in first year, 11 paid holidays plus 3 floating days
14 weeks of primary caregiver or 2 weeks of secondary caregiver leave
Tuition assistance and Employee Assistance Program (EAP)
Flexible work arrangements