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We’re looking for experienced Home Infusion Reimbursement Coordinators to support a high-priority project with Brightree, a ResMed company. In this role, you’ll take ownership of front-end billing and reimbursement processes, ensuring claims are accurately created and submitted to medical payors. You’ll collaborate with internal teams to resolve denials, improve accuracy, and optimize reimbursement outcomes across a nationwide home infusion network.
Job Responsibility:
Prepare, review, and submit home infusion claims to medical insurance payors (not pharmacy benefit managers)
Ensure claims comply with industry standards and payor-specific requirements
Research and resolve denials, rejections, and PTF (Past Timely Filing) claims
Accurately apply HCPCS Level II codes and POS (Place of Service) codes
Collaborate with RCM leadership and internal teams to streamline billing workflows
Maintain high standards of HIPAA compliance and documentation accuracy
Requirements:
2 years of home infusion billing experience, including at least 1 year of recent experience
Strong understanding of front-end medical billing (creating infusion claims, not intake/test claims)
Familiarity with medical payors, per diem charges, HCPCS Level II coding, and timely filing processes
Effective communicator with strong critical thinking, accuracy, and time-management skills
Proficient in Microsoft Excel, Word, and general billing software
High school diploma or equivalent
Nice to have:
Experience with collections and resolving denied or delayed claims
Previous experience at companies such as CVS Health (Coram) or Brooks Health Care Home Infusion
Proven track record of exceeding billing or reimbursement performance metrics
What we offer:
Comprehensive health benefits (medical, dental, vision, life, disability)
401(k) with match and Employee Stock Purchase Plan (ESPP)
Generous PTO: 15 days in your first year, plus 11 paid holidays and 3 floating days
Parental Leave: Up to 14 weeks for primary caregivers