Home Infusion Medical Claims Processor

Job Summary:Perform duties to process Home Infusion medical claims with a focus on accuracy, timeliness, and adherence to process, to reduce denial rate, DSO, and bad debt. Performs revenue cycle billing duties to process within the limits of standard Compliance practices.Duties/Responsibilities:Create and submit medical, pharmacy and third-party vendor claims timely and accurately. Ensure all revenue opportunities are included, and complete and submit billing to primary and secondary payers.Resolve rejected electronic claims so that current submission is successful and future submissions are not rejected.Maintain ready-to-bill delivery tickets and indicate tickets that cannot be billed with appropriate status for communication purposes within RCM and FranchisesDocument case activity, communications, and correspondence in CareTend to ensure completeness and accuracy of account activity.Contribute medical billing expertise to the design of training and knowledge transfer programs, mater