Home Infusion Reimbursement Specialist

BrightreePeachtree Corners, GA
$23 - $29Remote

About The Position

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 while maintaining regulatory compliance.

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
  • High school diploma required; equivalent combination of education and experience considered
  • Broad knowledge of revenue cycle workflows, billing routines, and infusion-related procedures

Responsibilities

  • Managing the end-to-end collections lifecycle for home infusion claims
  • Actively managing accounts receivable to ensure timely and accurate payment
  • Performing detailed payment and denial analysis to identify trends, root causes, and resolution strategies
  • Researching, following up on, and resolving unpaid, underpaid, denied, or appealed claims
  • Submitting appeals and corrected claims with appropriate documentation to support reimbursement
  • Communicating directly with payers to resolve complex coverage, authorization, and reimbursement issues
  • Maintaining compliance with payer contracts, Medicare guidelines, and regulatory requirements
  • Collaborating with billing, intake, and clinical teams to reduce denials and improve first-pass yield
  • Monitoring collection metrics and productivity goals while consistently working toward or exceeding performance benchmarks
  • Staying current on payer policy changes and infusion reimbursement regulations

Benefits

  • comprehensive medical
  • vision
  • dental
  • life
  • AD&D
  • short-term and long-term disability insurance
  • sleep care management
  • Health Savings Account (HSA)
  • Flexible Spending Account (FSA)
  • commuter benefits
  • 401(k)
  • Employee Stock Purchase Plan (ESPP)
  • Employee Assistance Program (EAP)
  • tuition assistance
  • fifteen days Paid Time Off (PTO) in their first year of employment
  • 11 paid holidays plus 3 floating days
  • 14 weeks of primary caregiver or two weeks of secondary caregiver leave
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