Medical Billing Specialist

About the Role

We’re seeking a detail-oriented Billing Specialist to support the accurate and timely submission of insurance claims for infusion medications and related services in a home infusion pharmacy setting.

Key Responsibilities

• Prepare and submit clean claims for infusion medications and related services.
• Apply HCPCS, CPT, ICD-10, and NDC codes accurately.
• Verify payer-specific billing requirements and reimbursement guidelines.
• Review authorizations and supporting documentation to ensure billing accuracy.
• Identify and correct claim errors and submit corrected claims as needed.
• Collaborate with intake, authorization, pharmacy, revenue cycle, and clinical teams to obtain missing billing information.
• Maintain accurate records in pharmacy and billing systems.
• Monitor billing work queues to ensure timely claim submission.
• Ensure compliance with HIPAA, payer requirements, and applicable regulations.

Qualifications

• 2+ years of medical billing experience.
• 1+ year of home infusion pharmacy, specialty pharmacy, or infusion billing experience.
• Knowledge of Medicare, Medicaid, and commercial payer billing requirements.
• Experience with HCPCS, CPT, ICD-10, and NDC coding.
• Strong attention to detail, organizational, and time-management skills.
• Proficiency in Microsoft Office applications and billing systems.
• High school diploma or GED required.
• Home infusion pharmacy billing experience, knowledge of infusion therapies, and experience with electronic claims submission or clearinghouse platforms are preferred.

Note: This Billing Specialist opportunity focuses on infusion drug billing, including claims accuracy, payer requirements, and reimbursement compliance.

Ascendo is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.