Billing Specialist

Soleo Health

. Support Soleo Health's Specialty Infusion Pharmacy .

Posted 9/18/2026full-timeRemote • United StatesJuniorMid-Level💰 $20 - $23 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in home infusion billing, including knowledge of HCPC coding, ICD10, CPT, and NCCI regulations. Capable of managing claims processing, ensuring compliance with payer contracts, and providing exceptional customer service.

Highest-signal resume keywords

Home Infusion Billing ExperienceHCPC Coding KnowledgeICD10 and CPT FamiliarityClaims Processing and SubmissionCustomer Service Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims SubmissionMedical TerminologyCoding SpecificityFee Schedule ReviewElectronic Medical Records ReviewBilling Requirements MonitoringRevenue ReviewClaim Batch CreationModifier ApplicationThird-Party Reimbursement

Soft Skills

DependabilityCommunication SkillsCustomer Service OrientationProblem-SolvingTime Management

Certifications & Qualifications

High School Diploma or Equivalent

Industry Keywords

Insurance BillingSelf-Pay BillingPayer ContractsGovernment ProgramsPharmacy BillingPBM IssuesClaims RejectionsUnbilled Delivery TicketsPerformance GoalsCompliance

About the role

Key responsibilities & impact

Support Soleo Health's Specialty Infusion Pharmacy
Primarily handle insurance and self-pay billing, excluding Medicare
Submit electronic and paper claims
Follow up with clearing house vendors on accepted and working rejections
Prepare accurate medical claims for commercial, government, employer, and institutional payers
Review claims pricing discrepancies based on fee schedule updates or changes
Create and submit secondary electronic pharmacy and medical claims
Bill manufacturer copays through portals or paper billing
Monitor billing requirements under payer contracts and government programs
Answer insurance and billing questions from branch staff and provide education
Review electronic medical records to prepare and submit clean claims
Perform monthly revenue review of billed claims
Answer incoming calls and triage when necessary
Create claim batches and process electronic submissions
Manually process claims ineligible for electronic billing
Identify, correct, and resubmit claims needing attention
Ensure coding specificity for maximum third-party reimbursement
Review and follow up daily on unbilled delivery tickets
Accurately document actions in patient accounts
Coordinate with the pharmacy team to resolve PBM issues and ensure timely billing
Meet performance goals through effective use of time and resources
Provide customer service to internal and external customers
Ensure compliance with government requirements, payer contracts, and company policies
Communicate billing issues to Intake, collections, RBL, and management
Monitor unbilled-pending invoice queues and communicate missing information to branches
Maintain current knowledge of departmental and organizational policies

Requirements

What you’ll need

2 years of home infusion billing experience is required
High School Diploma or equivalent
Knowledge of HCPC coding and medical terminology
Experience providing customer service to internal and external customers
Must be computer literate
Must be dependable
Excellent phone and email communication skills
Working knowledge of ICD10, CPT, NCCI; must be familiar with modifier application and standard billing regulations
Work Remotely (USA)

Benefits

Comp & perks

Competitive Wages
401(k) with a Match
Referral Bonus
Paid Time Off
Great Company Culture
Annual Merit Based Increases
No Weekends or Holidays
Paid Parental Leave Options
Affordable Medical, Dental, and Vision Insurance Plans
Company Paid Disability and Basic Life Insurance
HSA and FSA (including dependent care) Options
Education Assistance Program
Monday - Friday, 8:30am - 5pm