Reimbursement Specialist

Job Description

Job Description

The Home Infusion Biller is responsible for managing reimbursement activities related to home infusion service s. This includes researching and resolving claim rejections and denials, documenting all account actions, and ensuring timely follow-up with Medicare, Medi-Cal, Managed Medi-Cal, and commercial payers (HMO and PPO). The position may qualify for collection-based bonuses.

Monday to Friday 8 am - 4:30 pm.

Experience

• Minimum of 2 years of medical billing or collections experience in Home Infusion.
• Experience with CPR+ (Mediware) and/or CareTend software is a plus.
• Must have a solid understanding of medical terminology and insurance laws/guidelines.

Skills

• Proficient in medical billing and CMS reimbursement guidelines
• In-depth knowledge of insurance verification and eligibility (Medicare Parts A-D, Medi-Cal, commercial plans)
• Familiarity with ICD-10, HCPCS, and NDC coding
• Experience with prior authorization submissions and appeals
• Competent in Microsoft Office (Word, Excel, Outlook) and EMR platforms
• Excellent analytical, time management, and organizational skills
• Strong math skills with the ability to calculate using whole numbers, fractions, and decimals

We are a privately owned corporation founded in 1984.

Oso Home Care is an equal opportunity employer. Oso Home Care does not discriminate in employment with regard to race, color, religion, national origin, citizenship status, ancestry, age, sex, sexual orientation, marital status, physical or mental disability, military status, or any other characteristic protected by law.

Applicant and employee privacy policy can be found at