Home Infusion Accounts Receivables & Billing Specialist
At a glance
Mid-level Accounting role at Prosper Infusion. Westchase · full-time · no salary stated · we estimate $75,981–$135,000 across the United States.
Prosper Infusion has not published a salary for this role. The figure below is our estimate, not theirs.
financeroles summary, based on the employer's posting.
What you'll do
- Handle paid and unpaid claims, including contract review, reimbursement, denials, appeals and insurer billing questions
- Follow up with insurers to collect balances and move overdue accounts toward resolution
- Correct patient details on electronic and paper claims to help prevent rejections
- Check for branch gaps in registration, billing records and delivery tickets, then address unpaid claims promptly
- Submit secondary claims with payer-required documents and meet close deadlines, including overtime when needed
What you bring
- A high school diploma or GED is required
- At least one year in home infusion pharmacy billing and collections is preferred
- You can prioritize competing work, solve problems and manage several tasks
Who this fits
This role suits someone comfortable with insurance follow-up, collections and resolving billing issues. You’ll need to work to deadlines and handle stressful periods, with overtime when needed.
From the employer
Prosper Infusion is a home infusion pharmacy looking for talented and motivated AR & Collections Specialist to join our dynamic team!
The AR & Collections Specialist is responsible for a broad range of billing processes related to paid and unpaid claims. Responsible for contract analysis, reimbursement, denial management, appeals and resolving billing-related issues with insurance companies or other responsible party for services rendered. Commercial, Medicare, FL Medicaid, and Home Infusion billing experience preferred.
Major Responsibilities:
- Ensures daily accomplishments work towards company goals for cash collections and A/R over 90 days, Ready to Bill under 14 days, weekly and month-end close processes, and other departmental goals as outlined.
- Strong skills and knowledge in collections and timely follow ups with insurance companies for positive outcome is highly recommended.
- Processes unpaid claims quickly to ensure proper handling by branch and billing personnel; makes necessary demographic changes to reduce rejections of submitted electronic and paper claims.
- Identifies patterns of non-compliance by branch staff in completing patient registration, supporting billing documentation, and delivery tickets.
- If applicable, submit secondary billing in a timely manner with appropriate supporting documentation per payer-specific guidelines to ensure expected revenue is allowed.
- Works within specified deadlines and stressful situations.
- Works overtime when necessary to meet department goals and objectives.
- Performs other tasks or special projects as assigned.
Education/Experience:
- High School Diploma or equivalent (GED) required.
- College degree preferred in accounting or business.
- Excellent interpersonal, communication and organizational skills required.
- Ability to prioritize, problem solve, and multitask is required.
- A minimum of 1–2 years’ experience in Home Infusion Pharmacy billing and collections, with a working knowledge of managed care, commercial insurance, and Medicare reimbursement preferred.
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