Home Infusion Reimbursement Specialist

Brightree by Resmed • Full-time • US Brightree (Remote Workforce), United States of America • 6d ago

Are you an experienced infusion billing professional with a strong focus on accounts receivable and collections? We are seeking a Home Infusion Reimbursement & Collections Coordinator to play a critical role in driving timely cash collections and resolving complex reimbursement issues for home infusion services.

In this role, you will take ownership of assigned A/R pipelines, proactively work unpaid and underpaid claims, and partner closely with payers and internal stakeholders to maximize reimbursement while maintaining regulatory compliance.

Key Responsibilities

As a Home Infusion Reimbursement & Collections Coordinator, your primary focus will be managing the end-to-end collections lifecycle for home infusion claims, including:

Actively managing accounts receivable to ensure timely and accurate payment
Performing detailed payment and denial analysis to identify trends, root causes, and resolution strategies
Researching, following up on, and resolving unpaid, underpaid, denied, or appealed claims
Submitting appeals and corrected claims with appropriate documentation to support reimbursement
Communicating directly with payers to resolve complex coverage, authorization, and reimbursement issues
Maintaining compliance with payer contracts, Medicare guidelines, and regulatory requirements
Collaborating with billing, intake, and clinical teams to reduce denials and improve first-pass yield
Monitoring collection metrics and productivity goals while consistently working toward or exceeding performance benchmarks
Staying current on payer policy changes and infusion reimbursement regulations

Qualifications & Experience

Minimum 2 years of home infusion billing and collections / accounts receivable experience
At least 2 years of experience maintaining HIPAA compliance
Strong understanding of infusion reimbursement, payer requirements, and denial management
Proficiency in Microsoft Excel and Word; comfortable navigating billing and AR systems
High attention to detail with strong analytical, problem-solving, and follow-up skills
Effective written and verbal communication skills, including payer and internal stakeholder interactions
Demonstrated success in meeting or exceeding collections, aging, or productivity metrics
High school diploma required; equivalent combination of education and experience considered
Broad knowledge of revenue cycle workflows, billing routines, and infusion-related procedures

We are shaping the future at ResMed, and we recognize the need to build on and broaden our existing skills and continue to attract and retain the world’s best talent. We work hard to offer holistic benefits packages, provide flexible work arrangements, cultivate a workforce culture that allows employees to grow personally and professionally, and deliver competitive salaries to our team members. Employees scheduled to work 30 or more hours per week are eligible for benefits. This position qualifies for the following benefits package: comprehensive medical, vision, dental, and life, AD&D, short-term and long-term disability insurance, sleep care management, Health Savings Account (HSA), Flexible Spending Account (FSA), commuter benefits, 401(k), Employee Stock Purchase Plan (ESPP), Employee Assistance Program (EAP), and tuition assistance. Employees accrue fifteen days Paid Time Off (PTO) in their first year of employment, receive 11 paid holidays plus 3 floating days and are eligible for 14 weeks of primary caregiver or two weeks of secondary caregiver leave when welcoming new family members.

Individual pay decisions are based on a variety of factors, such as the candidate’s geographic work location, relevant qualifications, work experience, and skills.

At ResMed, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current base range for this position is: 16.48 - 24.72 USD Hourly.

For remote positions located outside of the US, pay will be determined based the candidate’s geographic work location, relevant qualifications, work experience, and skills.

Joining us is more than saying “yes” to making the world a healthier place. It’s discovering a career that’s challenging, supportive and inspiring. Where a culture driven by excellence helps you not only meet your goals, but also create new ones. We focus on creating a diverse and inclusive culture, encouraging individual expression in the workplace and thrive on the innovative ideas this generates. If this sounds like the workplace for you, apply now! We commit to respond to every applicant.

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