Reimbursement Coordinator – Home Infusion

WellSky

. Oversee claims processing, payment posting, and follow-up activities .

Posted 9/21/2026full-timeRemote • United StatesJuniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in claims processing, including Medicare billing and collections, while ensuring compliance with Local Coverage Determinations (LCDs) and National Coverage Determinations (NCDs). Proficient in tracking and resolving claims discrepancies and denials, with a focus on maintaining accurate billing information and documentation.

Highest-signal resume keywords

Medicare BillingClaims ProcessingClaims Denial ResolutionLocal Coverage Determinations (LCDs)National Coverage Determinations (NCDs)

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims ProcessingPayment PostingBilling Information GenerationQuality Assurance (QA)Claims SubmissionClaims TrackingResearching Claim PaymentsCollection Follow-UpWrite-Off Documentation

Soft Skills

Attention to DetailProblem SolvingCommunication

Tools & Technologies

Online Claims Status SystemsReporting Tools

Industry Keywords

Home Infusion ReimbursementDME/POS ReimbursementClaims DiscrepanciesTimely Filing PeriodPatient Balances

About the role

Key responsibilities & impact

Oversee claims processing, payment posting, and follow-up activities
Address discrepancies and resolve claims denials
Obtain billing information from clients to generate claims
Perform QA of charges and modify claims to produce clean claims
Submit claims within each insurance company's timely filing period
Prepare and/or print secondary claims that do not automatically cross over from Medicare or another primary payer
Track pending claims
Use reports to identify follow-up tasks
Obtain claim status by contacting payers or using online claims status systems
Research claim payments, partial payments, and over-payments
Escalate claims unpaid within 60 days or denied appeals
Perform collection follow-up on primary and secondary claims and assigned patient balances
Prepare write-off forms for identified bad debt and document reasons
Perform other assigned duties

Requirements

What you’ll need

GED or High School Diploma
At least 1-2 years of relevant work experience
Experience with Medicare billing and collections
Knowledge of home infusion or DME/POS reimbursement
Working knowledge of Medicare Local Coverage Determinations (LCDs) and National Coverage Determinations (NCDs)
Willing to work additional or irregular hours as needed
Must work in accordance with applicable security policies and procedures to safeguard company and client information
Must be able to sit and view a computer screen for extended periods of time
Applicants for U.S.-based positions with WellSky must be legally authorized to work in the United States
Verification of employment eligibility will be required at the time of hire
Certain client-facing positions may be required to comply with applicable requirements, such as immunizations and occupational health mandates

Benefits

Comp & perks

Excellent medical with Rx, dental, and vision benefits
Mental Health support through EAP
Generous paid time off
13 paid holidays
100% vested 401(K) retirement plans
Educational assistance up to $2500 per year