Infusion Billing Specialist Part Time w/ Possible Full Time Opportunity

Job Description

Job Description

Description:

Infusion Billing Specialist Part Time w/ Possible Full Time Opportunity

Job Summary:

We are seeking a knowledgeable and experienced Medical Biller to join our rheumatology practice. The ideal candidate will be responsible for managing all aspects of the billing cycle, from charge entry to payment posting for our Infusions. This role requires a strong understanding of medical insurance, CPT and ICD-10 coding, and excellent attention to detail to ensure accurate and timely reimbursement.

Essential Functions and Responsibilities

• Charge Entry:
  • Review and accurately enter charges for all patient encounters, including office visits, infusions, injections, and procedures.
  • Verify that charges align with services documented by providers.
• Claims Submission:
  • Submit clean claims to all insurance carriers (commercial, Medicare, Medicaid) in a timely manner, either electronically or on paper.
  • Manage and resolve any claim rejections or denials.
• Payment & Adjustment Posting:
  • Post payments from insurance carriers and patients accurately into the billing system.
  • Apply contractual adjustments, write-offs, and denials according to remittance advice and EOBs.
• Accounts Receivable Management:
  • Work aging reports to follow up on unpaid claims with insurance companies.
  • Research and resolve payment discrepancies and coding issues.
• General Duties:
  • Collaborate with the coding, collections, and clinical teams to resolve billing issues.
  • Stay up-to-date with changes in insurance policies and government regulations (e.g., HIPAA).
  • Assist with other administrative tasks as needed to support the practice's operations.

ADA Physical Requirements

• Data Entry and Manipulation: Constantly operating a computer, phone system, and other office productivity machinery (e.g., printer, copier) which requires the use of hands/fingers to handle, feel, operate, and input data (typing, writing, etc.).
• Stationary Position: The need to remain in a stationary position (sitting or standing) for extended periods to perform computer and phone work.
• Movement: Occasionally needing to move about inside the office to access file cabinets, office machinery, or other workstations.
• Visual Acuity: The ability to observe and read computer screens, forms, charts, and small print for accurate information and assessment.
• Lifting/Carrying: Minimal requirements, typically sedentary to light (moving or transporting items up to 10-20 pounds), such as files, supplies, or a laptop.

Required Qualifications

• High school diploma or equivalent; an associate's degree in a related field is a plus.
• A minimum of 2-3 years of experience in medical billing, with experience in a specialty clinic preferred.
• Proven knowledge of medical billing software and Electronic Health Record (EHR) systems.
• A strong understanding of CPT, ICD-10, and HCPCS coding as it relates to rheumatology services.
• Excellent analytical and problem-solving skills with a high degree of accuracy.
• Strong communication and interpersonal skills.
• A firm understanding of HIPAA regulations and patient confidentiality.

Why Work For Us?

• 401(k)Future-Proof Your Money (with a Match!)
  • Get a head start on retirement with our 401(k) plan, including a competitive employer match. It's the easiest free money you’ll ever get, letting you build wealth while you work.
• Paid Time Off (PTO) Freedom & Flexibility:
  • Mix your vacation, sick, and personal days into one flexible bank. Take the time you need to recharge, travel, or just crush that to-do list at home. We believe in work-life balance.
• Group Health & Dental Insurance Affordable, Quality Care (Health & Dental)
  • Stay healthy without the high cost. Access to a great medical and dental network to keep you covered from annual checkups to unexpected events—at a price that won't drain your bank account.
• Life Insurance: Peace of Mind Coverage
  • We provide life insurance for you at zero cost. It’s one less thing to worry about, providing a financial safety net for your family or loved ones
• Uniform Allowance: Gear Up Stipend
  • Get an annual allowance to buy the scrubs and gear you prefer. Spend it on new, comfortable gear so you can look and feel your best every day.
• Paid Holiday (For Eligible Employees): Celebrate & Recharge
  • Enjoy a standard set of paid days off for major federal holidays. No need to burn your PTO for holidays like Thanksgiving or Christmas.
• Bonus: Performance Rewards
  • While not guaranteed, the practice leadership often awards a bonus to recognize outstanding individual effort and contributions to the team’s success. Your hard work gets noticed.

Company Mission and Values

• “ To partner with you on your journey to better health, providing compassionate, advanced rheumatologic care and empowering you to lead a healthier, more fulfilling life. ”
• Compassion and Empathy: Recognizing the chronic nature of rheumatic diseases and the emotional, physical, and financial toll they take on patients, and treating everyone with kindness and sensitivity.
• Clinical Excellence/Quality of Care: Committing to the highest level of evidence-based medicine, accurate diagnosis, and continually improving patient outcomes.
• Patient-Centered Care: Focusing on the individual patient's needs, preferences, and goals, fostering shared decision-making, and respecting their autonomy.
• Integrity and Trust: Adhering to high ethical standards, being honest and transparent in communication, and building long-term, trusting relationships with patients.

EEOC & Reasonable Accommodation Statement

Piedmont Arthritis is an equal opportunity employer. To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential job functions. All qualified applicants will receive consideration for and within employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. We are committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. To request reasonable accommodation, contact Human Resources.

Requirements: