Job Description
Job Title Medical Biller Home Infusion Specialty Pharmacy
Overview We are seeking an experienced and detail-oriented Medical Biller with specialized knowledge in home infusion pharmacy billing. The ideal candidate will have direct experience billing for IVIG, TPN, nursing per diem charges, and Part D drug charges, with a strong working knowledge of payer-specific billing guidelines.
What You'll Do - Accurately process and submit claims for infusion therapy services, including IVIG and TPN.
- Bill and reconcile nursing per diem charges and infusion drug charges under Medicare Part D and commercial payers.
- Convert IV drug dosages into correct, billable units to ensure compliant and accurate billing.
- Review prescriptions, nursing notes, and therapy orders to validate billing charges.
- Follow up on unpaid or underpaid claims, appealing as necessary to maximize reimbursement.
- Collaborate closely with pharmacy, nursing, and reimbursement teams to maintain billing accuracy and compliance.
- Stay updated on billing regulations, coding changes, and payer-specific guidelines for home infusion therapy.
What You'll Bring - Minimum of 2 years of recent experience in medical billing for a home infusion pharmacy setting.
- Strong knowledge of IV drug billing, including experience with IVIG and TPN therapies.
- Proficient in converting IV drug dosages to billable units for accurate charge entry.
- Familiarity with Medicare Part D and commercial insurance billing practices.
- Excellent attention to detail, organizational skills, and follow-through.
- Experience with pharmacy management systems and billing software preferred.
Additional Details - Full-Time, Benefited - Direct Placement
- On-Site/Hybrid
INDH Alura Workforce Solutions
Job Tags
Daily paid, Full time,