Reimbursement Specialist

PROMPTCARE HOME INFUSION LLC•Madisonville, LA

10d•Remote

About The Position

PromptCare is seeking a motivated, experienced, and detail-oriented Reimbursement Specialist to handle patient billing and collections in the homecare infusion industry. The role requires proficiency in insurance data collection, verification, and authorization, as well as accurate documentation and computer entry throughout new referrals and patient admissions in accordance with company policies and procedures. The position is remote, full-time, non-exempt, and scheduled for 40 hours per week, Monday through Friday. It reports to a Departmental Lead, Supervisor, or Manager.

Requirements

High school diploma or equivalent.
Working knowledge of insurance plans, including Medicare and Medicaid.
The description seeks 2–3 years of experience in electronic claims submission and medical collections as a preferred qualification.
Experience with billing and collections in DME, home infusion, and/or enteral care is preferred.
Accounts receivable and accounting experience is preferred.
Knowledge of CPR+ and/or Caretend software is preferred.

Nice To Haves

2–3 years of experience in electronic claims submission and medical collections.
Industry experience with billing and collections in DME, home infusion, and/or enteral care.
Accounts receivable and accounting experience.
Knowledge of CPR+ and/or Caretend software.

Responsibilities

Collect third-party payor accounts for assigned payers.
Follow up on reimbursement and revenue-cycle matters, including projects, escalations, denial management, and research.
Maintain and update shared documentation to help the Intake Team understand insurance-plan policies, rules, and limitations.
Identify adjustments, payment trends, and denials, and escalate problems as necessary.
Maintain confidentiality in patient care, employee activities, and the office environment.
Communicate changes regularly or as needed.
Collaborate with department staff, including Intake and Reauthorization Specialists, to support timely collections.
Assist the PBM and Billing Specialist with issues, billing backlogs, and end-of-month processes.
Handle and troubleshoot patient calls about benefits, claims, and balances.
Proactively seek resolutions to billing issues.
Complete CPR+/Caretend transactions accurately and promptly.
Perform other duties as assigned.

Benefits

Comprehensive medical, dental, and vision package.
401(k) plan with company match.
Vacation, sick time, personal days, and paid holidays.
Life insurance with optional enhancements.
Employee assistance program offering counseling and coaching sessions.
Emotional well-being and work-life balance resources.
Company-paid short- and long-term disability coverage with optional supplements.
Accidental death and dismemberment insurance.
Flexible spending account (FSA) and health savings account (HSA).
Commuter spending programs.
Volunteer and engagement opportunities.
Employee referral bonuses.
Discounts on entertainment, travel, supplemental plans, and cellphone plans.