Infusion Reimbursement Specialist

Prochant

. Ensure receipt and validity of all documents needed to prepare and submit billing and claims accurately.

Posted 10/10/2026full-timeRemote • United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in billing and claims submission for major medical claims, with a strong understanding of coding standards and compliance requirements. Proficient in collaborating with various stakeholders to ensure accurate and timely processing of claims.

Highest-signal resume keywords

Billing And Collecting Major Medical ClaimsInfusion And DME ExperienceBright Tree SoftwareHCPCS, NDC, CPT, And ICD-10 CodingCMS 1500 And 837 Claim Formatting

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims SubmissionBenefits VerificationPrior AuthorizationAccount Receivable ResolutionDocumentation Compliance

Soft Skills

CommunicationCollaborationProblem-Solving

Tools & Technologies

Bright TreeCPR+CareTendWeInfuse

Industry Keywords

Home InfusionAmbulatory InfusionSpecialty PharmacyInsurance ClaimsPayor Requirements

About the role

Key responsibilities & impact

Ensure receipt and validity of all documents needed to prepare and submit billing and claims accurately.
Understand benefits verification and prior authorization, date spans, and HCPC unit calculations.
Submit insurance claims accurately and on time to government, non-government, and third-party payors.
Research claim denials and resolve associated accounts receivable in a timely manner.
Conduct frequent phone contact with provider representatives, third-party customer service representatives, pharmacy staff, and case managers as needed.
Provide, submit, and coordinate necessary documentation to comply with payor requirements.
Collaborate with internal teams, communicate with external parties, and exchange information with other business services as needed.

Requirements

What you’ll need

High school diploma or GED
Deep knowledge and experience billing and collecting major medical claims for home infusion, ambulatory infusion, and/or specialty pharmacy.
Two (2)+ years directly related Infusion and DME experience preferred.
Experience using Bright Tree, CPR+, CareTend, or WeInfuse software.
General knowledge of HCPCS, NDC, CPT, and ICD-10 coding.
Ability to demonstrate a clear understanding of CMS 1500 and 837 claim formatting and billing process.

Benefits

Comp & perks

Health Insurance
Gap Insurance
Dental Insurance
Vision Insurance
Short Term / Long Term Disability (company paid)
Term Life Insurance (company paid, employee can elect additional)
Full suite of CHUBB supplemental insurance plans, including: Disability Income, Level Term Life, Accident Insurance, & Critical Illness Insurance
Floating holidays and paid time off
Pre-Paid Legal
401K with company match