Home Infusion Reimbursement & Collections Specialist

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. Key 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 Stay current on payer policy changes and infusion reimbursement regulations Qualifications & Experience 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 Benefits This position qualifies for the following benefits package: comprehensive medical, vision, dental, and 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), and tuition assistance. Employees scheduled to work 30 or more hours per week are eligible for benefits. Employees accrue fifteen days Paid Time Off (PTO) in their first year of employment, receive 11 paid holidays plus 3 floating days and are eligible for 14 weeks of primary caregiver or two weeks of secondary caregiver leave when welcoming new family members. Equal Opportunity Employer ResMed is an equal opportunity employer and provides equal opportunity in employment for all qualified persons, without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law. (US/Canada only) ResMed is an equal opportunity/affirmative action employer. ResMed is an E-Verify Employer. ResMed is a smoke-free workplace. We are a 2024 Circle Back Initiative Employer – we commit to respond to every applicant! #J-18808-Ljbffr