Home Infusion Reimbursement Specialist

Responsibilities

• Manage the end-to-end collections lifecycle for home infusion claims to ensure timely and accurate payment
• Perform detailed payment and denial analysis to identify trends, root causes, and resolution strategies
• Research, follow up on, and resolve unpaid, underpaid, denied, or appealed claims
• Submit appeals and corrected claims with appropriate documentation to support reimbursement
• Communicate directly with payers to resolve complex coverage, authorization, and reimbursement issues
• Maintain compliance with payer contracts, Medicare guidelines, and regulatory requirements
• Collaborate with billing, intake, and clinical teams to reduce denials and improve first-pass yield
• Monitor collection metrics and productivity goals to meet or exceed performance benchmarks

Requirements

• Minimum 2 years of home infusion billing and collections or 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
• High school diploma required (or equivalent combination of education and experience)
• Strong analytical, problem-solving, and follow-up skills

Benefits

• Comprehensive medical, vision, dental, and life insurance
• Short-term and long-term disability insurance
• Health Savings Account (HSA) and Flexible Spending Account (FSA)
• 401(k) and Employee Stock Purchase Plan (ESPP)
• Paid Time Off (PTO), 11 paid holidays, and 3 floating days
• Tuition assistance and Employee Assistance Program (EAP)

About the Company

ResMed creates life-changing health technologies that empower millions of people in more than 140 countries to live happier, healthier lives. Our AI-powered digital health solutions, cloud-connected devices, and intelligent software make home healthcare more personalized, accessible, and effective.