Senior Medical Billing Specialist; Infusion

Job Description

A client of Insight Global is seeking a Home Infusion Billing and Reimbursement Specialist to lead revenue cycle operations within a home infusion environment. This role is responsible for overseeing billing, collections, payment posting, and denial management while ensuring accuracy and compliance across reimbursement processes.

This person will partner cross-functionally with operations, clinical teams, and leadership to improve cash collections, reduce reimbursement leakage, and optimize overall financial performance. Additionally, this individual will monitor key revenue cycle metrics, drive process improvements, and manage audits.

Key Responsibilities:

• Lead billing and reimbursement operations including claims, collections, payment posting, and AR follow-up

• Oversee end-to-end revenue cycle processes (intake, authorization, billing, collections)

• Manage denials, underpayments, and appeals to maximize reimbursement

• Track key metrics (DSO, aging, denial trends, cash collections) and improve performance

• Ensure accurate, compliant billing and maintain reimbursement systems/data

• Prepare reporting and support month-end revenue cycle activities

• Conduct audits and support compliance with payer requirements

• Serve as reimbursement SME and partner with leadership on process improvements

This role is primarily computer-based and may be performed in an office, hybrid, or remote setting, with schedule flexibility based on operational needs.

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances.

If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to  learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy:

Skills and Requirements

• 5-10+ years of healthcare reimbursement, medical billing, or revenue cycle experience (home infusion strongly preferred)

• Hands-on experience with billing operations, payer follow-ups, denials, collections, and accounts receivable management

• Knowledge of Medicare, Medicaid, commercial payers, and managed care reimbursement processes

• Experience with EDI claims processing and clearinghouse platforms (e.g., Waystar)

• Familiarity with CPR+ or similar billing systems

• Strong analytical, organizational, and problem-solving skills

• Excellent communication skills and ability to collaborate across departments

• Ability to manage multiple priorities in a fast-paced environment - Bachelor's degree in Business, Healthcare Administration, Finance, or related field

• AHIMA, AAPC, or similar certification

• Experience in home infusion, specialty pharmacy, or infusion services settings

• Experience creating reports for hospital or health system leadership