Home Infusion Billing Specialist

Infusion for Health

. Review home infusion charges, billing records, orders, authorizations, and supporting documentation for completeness and accuracy .

Posted 9/18/2026full-timeRemote • United StatesJuniorMid-Level💰 $25 - $30 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in home infusion billing processes, including claim submission, HCPCS/CPT coding, and denial resolution. Proficient in collaborating with various departments to ensure accurate billing and compliance with payer requirements.

Highest-signal resume keywords

Home Infusion Billing ExperienceMedicare BillingHCPCS/CPT CodingCareTEND ProficiencyDenial Resolution

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claim SubmissionBilling AccuracyPayer GuidelinesBilling Quality ChecksMedical Billing Processes

Soft Skills

Attention to DetailAnalytical SkillsProblem-Solving SkillsEffective CommunicationCollaboration

Tools & Technologies

CareTENDMicrosoft OfficeBilling SystemsPayer PortalsRevenue Cycle Technology

Industry Keywords

Home InfusionMedicareMedicaidCommercial InsuranceClaim Denials

About the role

Key responsibilities & impact

Review home infusion charges, billing records, orders, authorizations, and supporting documentation for completeness and accuracy
Prepare and submit clean claims to Medicare, Medicaid, and commercial payers
Bill home infusion medications, supplies, administration services, and applicable per diem or related services
Apply HCPCS/CPT codes, units, modifiers, NDC information, place of service, and other claim elements
Validate drug quantities, dosage units, dates of service, and billing units
Identify missing or inconsistent information and coordinate corrections before submission
Review payer-specific billing guidelines, fee schedules, coverage requirements, and claim submission rules
Validate authorizations, referrals, and other payer requirements
Confirm payer, member, provider, and service information is accurate
Review and resolve claim rejections and denials
Correct billing errors and resubmit claims when appropriate
Research payer responses and denial codes
Communicate recurring denial trends and billing issues to the Billing Lead
Maintain accurate billing notes and claim documentation
Perform billing quality checks and participate in internal billing audits
Follow billing SOPs, payer requirements, Revenue Cycle policies, and privacy requirements
Collaborate with Billing, Accounts Receivable, Authorization, Pharmacy, Operations, and other departments
Assist with billing workflow improvements and clean claim rate increases
Participate in training and process updates related to home infusion billing and payer requirements

Requirements

What you’ll need

High school diploma or equivalent required
Minimum 2 years of home infusion billing experience required
Experience billing Medicare, Medicaid, and commercial insurance plans required
Previous experience using CareTEND for home infusion billing required
Experience with HCPCS/CPT coding, claim submission, payer guidelines, and denial resolution required
Working knowledge of medical billing processes and payer requirements, with an understanding of home infusion billing practices
Strong attention to detail and ability to identify discrepancies in billing information, units, charges, and claim data
Ability to manage multiple priorities and meet daily and monthly billing deadlines
Strong analytical and problem-solving skills, particularly when researching payer denials and claim issues
Effective written and verbal communication skills and the ability to collaborate across multiple departments
Ability to work independently in a remote environment while maintaining productivity, accuracy, and accountability
Proficiency with billing systems, payer portals, Microsoft Office, and other Revenue Cycle technology
Monday to Friday 8-5