[Hiring] Home Infusion Billing Specialist @AIS Healthcare

Role Description

Advanced Infusion Care is seeking an experienced and detail-oriented Infusion Billing Specialist to join our Financial Services team. The Infusion Billing Specialist is responsible for accurate and timely billing activities from delivery ticket confirmation through submission of electronic and paper HCFA 1500 claims to third-party payers. This position works closely with Pharmacy, Collections, and other Revenue Cycle Management teams to resolve billing issues and support timely reimbursement.

• Review and follow up on open pharmacy delivery tickets to ensure timely and accurate billing.
• Monitor and resolve claims identified on billing hold reports.
• Prepare and submit accurate electronic and paper HCFA 1500 claims.
• Work rejected claims queues in Waystar and resolve issues for timely resubmission.
• Research and submit corrected claims as needed.
• Respond timely and accurately to questions from the Collections team and other internal departments.
• Review claims for billing accuracy, including payer requirements, coding, NDCs, units, quantities, and infusion supplies.
• Maintain working knowledge of payer policies, reimbursement requirements, medical terminology, and applicable billing regulations.
• Identify billing issues and use sound judgment to determine appropriate resolution.
• Maintain accurate and thorough documentation of billing activities.
• Protect patient information and maintain strict confidentiality in accordance with HIPAA and company policies.
• Recognize and respect patient rights, privacy, and confidentiality in the performance of all job duties.
• Maintain compliance with federal and state laws, regulations, payer requirements, and company policies.
• Perform other duties as assigned.

Qualifications

• High school diploma or GED required.
• Minimum of 5 years of healthcare industry experience required.
• Home infusion billing experience required.
• Strong knowledge of healthcare reimbursement and third-party payer requirements.
• Knowledge of medical terminology required.
• Medical coding knowledge and experience preferred.
• Working knowledge of ICD-10 coding.
• Knowledge of NDC numbers, metric quantities, and infusion supplies preferred.

Requirements

• Strong understanding of Revenue Cycle Management and how its functions integrate across the billing and collections process.
• Strong analytical and problem-solving skills with the ability to make timely, sound decisions.
• Exceptional attention to detail and accuracy.
• Excellent written and verbal communication skills.
• Ability to establish effective working relationships with internal and external stakeholders.
• Ability to prioritize and manage multiple responsibilities in a fast-paced environment.
• Strong work ethic, integrity, accountability, and professionalism.
• Self-directed, organized, dependable, and able to follow through on assigned responsibilities.
• Ability to handle sensitive and confidential information appropriately.
• Proficiency with Microsoft Office, including Outlook, Word, and Excel.
• Experience with Waystar or similar claims-management platforms preferred.

Benefits

• Comprehensive benefits package, including medical, dental and vision insurance.
• Long-term disability and life insurance.
• Paid time off.
• 401(k) plan with a generous employer match.

Application Process

To be considered for this position, applicants must complete the required Culture Index Assessment. Applications may not be considered until the assessment has been completed. The assessment takes less than ten minutes to complete. Please copy and paste the following link into your browser and select the position for which you are applying. Only one assessment is required per candidate:

Culture Index Assessment

Join Our Team

At Advanced Infusion Care, we are looking for impact players who are positive, dependable, hardworking, and committed to making a difference. If you are an experienced healthcare billing professional who takes pride in accuracy, accountability, and patient-focused service, we invite you to apply.