Infusion Revenue Cycle Specialist

Job Summary

A company is looking for an Infusion and Specialty Drug Revenue Cycle Specialist (Remote).

Key Responsibilities

• Submit and track claims for infusion therapies and physician-administered drugs to ensure timely processing and reimbursement
• Reconcile payments and maintain records of payer communications and payment status for infusion and injectable drug claims
• Verify insurance eligibility and collaborate with teams to obtain prior authorizations and ensure compliance with regulations

Required Qualifications, Training, and Education

• High School Diploma or equivalent (higher degree accepted)
• 2 years of experience in infusion billing, buy-and-bill processes, or specialty pharmacy billing
• Experience in oncology, rheumatology, or infusion center settings is highly desirable
• Advanced knowledge of medical terminology, coding, and HIPAA requirements
• Proficiency in insurance verification and accounts receivable follow-up