Medical Biller - Home Infusion

$41,600 - $62,400/Yr

Infusion Solutions - Federal Way, WA

Part-time,Full-time - Entry Level

Hybrid - Federal Way, WA

Health and Personal Care Retailers

About the position

The Medical Biller position at Infusion Solutions Inc is a hybrid role focused on home infusion billing. The ideal candidate will have experience in medical billing, particularly in home infusion and specialty pharmacy, and will be responsible for preparing and submitting claims, managing denials, and ensuring timely payment from insurance companies. This role requires strong customer service skills and the ability to work collaboratively towards billing metrics goals.

Responsibilities

• Prepare and submit clean claims to assigned insurance companies.
• Have a thorough understanding of all payer contracts.
• Bill all charges on a daily basis and ensure timely, accurate submission and collection of claims.
• Verify that services and products are correctly authorized and required documentation is on file.
• Work toward accomplishing collaboratively set goals related to billing metrics.
• Work all claim denials on a daily basis.
• Follow up on all unpaid claims in a timely manner and prepare appeal or corrected claims to ensure payment.
• Be proficient in payer appeals process for underpaid or denied claim invoices.
• Review EOBs and act appropriately.
• Interpret Contracts/Maintain Payer customer service relationships in order to produce accurate claims, validate reimbursement and keep A/R to company standards.
• Provide excellent customer service.

Requirements

• 2 years of infusion billing experience.
• Experience in home infusion and specialty pharmacy billing.
• Strong customer service skills.
• Ability to learn and adapt quickly.
• Excellent problem-solving skills.

Nice-to-haves

• Experience in pharmacy billing.

Benefits

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance