As a Home Infusion Reimbursement & Collections Coordinator, your primary focus will be managing the end-to-end collections lifecycle for home infusion claims, including:
Actively managing accounts receivable to ensure timely and accurate payment
Performing detailed payment and denial analysis to identify trends, root causes, and resolution strategies
Researching, following up on, and resolving unpaid, underpaid, denied, or appealed claims
Submitting appeals and corrected claims with appropriate documentation to support reimbursement
Communicating directly with payers to resolve complex coverage, authorization, and reimbursement issues
Maintaining compliance with payer contracts, Medicare guidelines, and regulatory requirements
Collaborating with billing, intake, and clinical teams to reduce denials and improve first-pass yield
Monitoring collection metrics and productivity goals while consistently working toward or exceeding performance benchmarks
Staying current on payer policy changes and infusion reimbursement regulations
Qualifications & Experience
Minimum 2 years of home infusion billing and collections / 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; comfortable navigating billing and AR systems
High attention to detail with strong analytical, problem-solving, and follow-up skills
Effective written and verbal communication skills, including payer and internal stakeholder interactions
Demonstrated success in meeting or exceeding collections, aging, or productivity metrics
High school diploma required; equivalent combination of education and experience considered
Broad knowledge of revenue cycle workflows, billing routines, and infusion-related procedures
Individual pay decisions are based on a variety of factors, such as the candidate's geographic work location, relevant qualifications, work experience, and skills.
At ResMed, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current base range for this position is: 23.28 - 29.20 USD Hourly.
For remote positions located outside of the US, pay will be determined based the candidate's geographic work location, relevant qualifications, work experience, and skills.
Benefits
Health insuranceDental insuranceVision insurance401(k)Paid time offRemote work optionsFlexible scheduleEquity / stock options
Additional Information
Are you an experienced infusion billing professional with a strong focus on accounts receivable and collections ? We are seeking a Home Infusion Reimbursement & Collections Coordinator to play a critical role in driving timely cash collections and resolving complex reimbursement issues for home infusion services.
In this role, you will take ownership of assigned A/R pipelines, proactively work unpaid and underpaid claims, and partner closely with payers and internal stakeholders to maximize reimbursement while maintaining regulatory compliance.
Resmed · Peachtree Corners, GA