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AIS Healthcare · 17 hours ago

Home Infusion Billing Specialist

United States

Full-time

Remote

New Grad, Entry Level

AIS Healthcare specializes in intravenous and subcutaneous immunoglobulin therapy patient care, and they are seeking an experienced Home Infusion Biller to join their team. This role is responsible for the billing process for the IG division, ensuring accurate claims submissions and compliance with relevant regulations.

Health CarePharmaceutical

Responsibilities

Determines appropriate action needed for confirmed delivery tickets within 3 days of confirmation

Ensures invoices are created appropriately based on the payer type for the assigned payer

Ensures that the appropriate authorization and diagnosis are assigned to the claim

Prepares and submits clean claims to various insurance companies either electronically or by paper

Creates and saves drug invoices when warranted

Recognizes patients’ rights and responsibilities and supports them in the performance of job duties; respects patient’s rights to privacy and confidentiality

Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations

Generates “clean” claims on a consistent basis

Works up all claims billed the previous day (secondary biller and claim’s generator only)

Maintains a thorough understanding of NDC (National Drug Code) numbers, how to convert drug dosages into appropriate billing units per HCPC

Shares knowledge gained with other staff members and works as a team member

Interacts with others in a positive, respectful, and considerate manner

Performs other job related duties as assigned

Qualification

Medical insurance billingAttention to detailMicrosoft applicationsProblem solvingIndependencePrioritizationBasic computer proficiencyEffective communication