Infusion Billing Specialist

2 weeks ago

Addison, United States Medix Infusion Full time
Job DescriptionJob DescriptionDescription:

Medix Infusion is seeking an experienced Infusion Billing Specialist to join our team. As an Infusion Billing Specialist, you will be responsible for processing infusion medical claims accurately and promptly. You will collaborate with clinical staff to gather necessary information for the timely submission of claims.


Medix Infusion is a technology-driven healthcare platform enhancing patient care and access to infusion therapies, specializing in disease management and infusion pharmacy services for chronic and acutely ill patients, especially in underserved communities. We offer personalized home and in-suite infusion therapies, ensuring convenience and comfort. Our expert team provides a comprehensive range of treatments, including anti-infectives, biologics, IVIG, and other injectables, making each patient’s journey as smooth as possible.


Key Responsibilities:

  • Review information from electronic medical records (e.g., authorizations, benefit verifications, orders, notes) to prepare and submit clean claims.
  • Resolve rejected electronic claims to ensure successful resubmission and prevent future rejections.
  • Manually process claims that are not eligible for electronic submission.
  • Conduct daily reviews and follow-ups on unbilled appointments and ready-to-bill queues.
  • Collaborate closely with the Intake and Nursing departments to ensure accuracy and timeliness.
  • Stay informed of new billing guidelines and implement necessary changes.
  • Perform other tasks or special projects as assigned.

Required Qualifications:

  • High school diploma or GED equivalent.
  • Minimum of 5 years of experience in the healthcare industry.
  • Knowledge of healthcare reimbursement, third-party payer regulations, and medical terminology.
  • Strong problem-solving skills and the ability to make timely decisions.
  • Strong attention to detail.
  • Proficiency with ICD-10.
  • Ability to handle highly sensitive and confidential material with strong knowledge of HIPAA privacy guidelines and requirements.
  • Ability to recognize, evaluate, and exercise good judgment in complex situations, advising in accordance with laws and regulations.
  • Excellent verbal and written communication skills, with the ability to build relationships and work with various internal and external stakeholders.
  • Must be able to perform all the essential functions of the role with or without accommodations.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the primary functions of this job. While performing the duties of this job, the employee may be required to frequently stand, walk, sit, bend, twist, talk, and hear. There may be prolonged periods of sitting, keyboarding, and reading. The employee must occasionally lift and/or move up to 30 pounds. Specific vision abilities required by this job include reading, distance, computer, and color vision. Talking and hearing are essential to communicate with patients, vendors, and staff.


Confidentiality Agreement:
All employees must uphold confidentiality and patient care principles to the fullest extent. Breaches of these principles will result in immediate termination.


Why Join Us?

  • Compassionate Team: Join a dedicated team focused on exceptional patient care.
  • Supportive Environment: Thrive in a positive work culture with growth opportunities.
  • Competitive Compensation: Enjoy a comprehensive benefits package and competitive pay.
  • Excellent Culture: Rated highly by our employees (NPS Score).
  • Patient-First Approach: We treat others as we want ourselves or our families treated.
  • Integrity: We are committed to doing the right thing in all situations.
  • Team-Oriented: Work in a collaborative environment with an emphasis on positive intent.
  • Comprehensive Benefits: Health and life insurance, voluntary dental/vision insurance.
  • Retirement Savings: 401(k) plan with company contributions.
  • Paid Time Off: Enjoy paid holidays and vacation time.

Medix Infusion offers a dynamic work environment, opportunities for professional growth, rewarding career challenges, and competitive compensation. We are an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status, or other characteristics protected by law.


Medix Infusion will only employ individuals who are legally authorized to work in the United States. Any offer of employment is conditioned upon the successful completion of pre-employment screenings.

Requirements:


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