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Infusion Billing Collections Jobs (NOW HIRING)

Medix

Onsite Insurance Collections Specailist

Plano, TX · On-site

$25 - $30/hr

Direct experience with home infusion, specialty pharmacy, and/or IG billing/collections. * Payer ... Experience: Demonstrated experience working with major payers including Medicare, Medicaid, PBM ...

LUX Infusion

Collections Specialist

Overland Park, KS · Hybrid

$18.25 - $24.75/hr

Prior home infusion therapy billing or collections experience You don't need to check every box ... we care just as much about how you approach problemsolving and accountability as your background.

LUX Infusion

Collections Specialist

Overland Park, KS · Hybrid

$18.25 - $24.75/hr

Prior home infusion therapy billing or collections experience You don't need to check every box ... we care just as much about how you approach problemsolving and accountability as your background.

LUX Infusion

Collections Specialist

Overland Park, KS · On-site

$26 - $28/hr

Prior home infusion therapy billing or collections experience You don't need to check every box ... we care just as much about how you approach problem-solving and accountability as your background.

LUX Infusion

Collections Specialist

Overland Park, KS · On-site

$26 - $28/hr

Prior home infusion therapy billing or collections experience You don't need to check every box ... we care just as much about how you approach problem-solving and accountability as your background.

LUX Infusion

Collections Specialist

Overland Park, KS · On-site

$26 - $28/hr

Prior home infusion therapy billing or collections experience You don't need to check every box ... we care just as much about how you approach problem-solving and accountability as your background.

LUX Infusion

Collections Specialist

Overland Park, KS

$18.25 - $24.75/hr

Prior home infusion therapy billing or collections experience You don't need to check every box ... we care just as much about how you approach problemsolving and accountability as your background.

LUX Infusion

Collections Specialist

Overland Park, KS

$26 - $28/hr

Prior home infusion therapy billing or collections experience You don't need to check every box ... we care just as much about how you approach problem‑solving and accountability as your background.

LUX Infusion

Collections Specialist

Kansas City, KS · Hybrid

$26 - $28/hr

Prior home infusion therapy billing or collections experience You don't need to check every box ... we care just as much about how you approach problem‑solving and accountability as your background.

Ochsner Health

Home Infusion- Billing Rep

$18.25 - $23.75/hr

Responsibilities may include the effective handling of bad debt, charity care, cash collections ... Resolves billing inquiries utilizing a variety of tools (i.e. computer software, reports ...

Onco360

Medical AR Collections Specialist

Louisville, KY · Remote

$23/hr

Onco360 Pharmacy is looking for a Medical AR Collections Specialist for our Pharmacy located in ... Specialty Pharmacy Infusion Billing Work Experience \t * Required: 2-3 years Healthcare Accounts ...

Local Infusion

Reimbursement Manager

Newark, NJ · On-site

If you have a strong background in billing, denial management, collections, and a comprehensive understanding of infusion revenue cycle, this role offers the opportunity to shape reimbursement ...

Local Infusion

Reimbursement Manager

Newark, NJ · Remote

If you have a strong background in billing, denial management, collections, and a comprehensive understanding of infusion revenue cycle, this role offers the opportunity to shape reimbursement ...

AmeriPharma

Billing Administrator

Laguna Hills, CA · On-site

Prior experience with electronic billing systems and terminology used in specialty or infusion pharmacy is a plus * 13 years of experience in billing, collections, clerical, or administrative support

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Infusion Billing Collections information

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How much do infusion billing collections jobs pay per hour?

As of Jul 24, 2026, the average hourly pay for infusion billing collections in the United States is $21.78, according to ZipRecruiter salary data. Most workers in this role earn between $17.55 and $24.04 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as an Infusion Billing Collections specialist, and why are they important?

To thrive as an Infusion Billing Collections specialist, you need strong knowledge of medical billing procedures, insurance protocols, and healthcare reimbursement, often supported by experience in healthcare billing or a related certification. Proficiency with medical billing software, electronic health records (EHR) systems, and insurance claims platforms is typically required. Attention to detail, problem-solving abilities, and effective communication with patients and payers are essential soft skills. These competencies ensure accurate claims processing, timely collections, and compliance with healthcare regulations, directly affecting the organization's financial health.

What are infusion billing collections?

Infusion billing collections refer to the process of managing and collecting payments for infusion therapy services, which involve the administration of medication directly into a patient’s vein. This includes submitting accurate claims to insurance companies, following up on unpaid or denied claims, and ensuring patients and insurers are billed correctly for the treatments provided. The goal is to maximize reimbursement for healthcare providers while ensuring compliance with regulations and minimizing financial losses. Specialists in this field must understand medical coding, insurance policies, and regulatory requirements specific to infusion therapy.

What is the difference between Infusion Billing Collections vs Medical Billing Specialist?

AspectInfusion Billing CollectionsMedical Billing Specialist
CredentialsKnowledge of infusion therapy billing, certifications like CPC or CCSMedical billing certifications, CPC or equivalent
Work EnvironmentSpecialized clinics, hospitals, infusion centersDoctors' offices, hospitals, outpatient clinics
Employer & IndustryHealthcare providers focusing on infusion treatmentsGeneral healthcare facilities across various specialties

Infusion Billing Collections focuses specifically on billing and collections related to infusion therapy services, requiring specialized knowledge of infusion procedures and insurance policies. Medical Billing Specialists handle a broader range of medical billing tasks across multiple healthcare settings. While both roles require billing certifications, Infusion Billing Collections professionals need industry-specific expertise, making their role more specialized within the healthcare billing field.

What are some common challenges faced in an Infusion Billing Collections role, and how can they be addressed?

Professionals in Infusion Billing Collections often encounter challenges such as navigating complex insurance authorizations, managing denied claims, and ensuring timely reimbursement for high-cost medications. Successfully addressing these challenges involves maintaining up-to-date knowledge of payer policies, utilizing strong communication skills to resolve claim issues with both insurers and patients, and working closely with clinical and administrative teams to verify documentation accuracy. Proactive follow-up and attention to detail are essential for reducing delays and optimizing cash flow in this specialized billing environment.
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What cities are hiring for Infusion Billing Collections jobs? Cities with the most Infusion Billing Collections job openings:
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Infusion Billing Collections jobs near you
Infographic showing various Infusion Billing Collections job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 86% Full Time, 11% Part Time, and 2% Contract. Highlights an 91% Physical, 3% Hybrid, and 6% Remote job distribution, with an average salary of $45,295 per year, or $21.8 per hour.

Billing and Credentialing Specialist

Clinivoy LLC

Irvine, CA • On-site

$23 - $28/hr

Full-time

Posted 4 hours ago

Job description

Profile Summary:
The Billing & Credentialing Specialist is responsible for managing the full revenue cycle for infusion services, including benefits investigation, verification, accurate claim submission, denial resolution, and AR follow-up. This role handles complex buy-and-bill infusion billing, including J-codes, S-codes, NDC crosswalks, biologics, and time-based infusion services.
Additionally, the specialist manages provider credentialing and enrollment with Medicare, Medi-Cal, and commercial payers, ensuring compliance and timely activation. The position supports patients, providers, and internal departments to optimize reimbursement and maintain continuity of care.
Key Accountabilities:
Medical Benefits Billing & Revenue Cycle Management
  1. Verify medical benefits for infusion services, including specialty biologics, IVIG, and injectable therapies.

  1. Complete detailed benefit investigation (BI) for medical benefits, deductible, OOP, copay, and coverage limitations.

  1. Process, correct, and submit claims using CMS-1500 and UB-04 forms for facility and professional billing.

  1. Apply proper coding for infusion services including:

  • J-codes / S-codes

  • NDC conversions & crosswalks

  • Infusion CPT codes (96365-96379, 96401-96417)

  • Modifier accuracy (JW, JG, 59, 25, etc.)

  1. Manage buy-and-bill billing including ASP pricing, wastage documentation, and payer-specific requirements.

  1. Monitor claim status and process secondary or tertiary claims as required.

  1. Perform comprehensive AR collections, including tracking outstanding balances and resolving unpaid or underpaid claims.

  1. Research and resolve claim errors, coding issues, and payer-specific infusion policies.

  1. Manage prior authorization follow-up with the PA team and ensure claims are billed compliant with authorization terms.

  1. Communicate with payers to resolve rejections, eligibility discrepancies, and coverage issues.

Denials, Appeals & Reconsiderations
  1. Review, analyze, and resolve claim denials related to medical necessity, coding, benefit coverage, or documentation.

  1. Prepare and submit appeal packets including clinical justifications, medical records, infusion notes, and prior authorization details.

  1. Draft high-quality appeal letters based on denial category and payer requirements.

  1. Track appeal turnaround times and follow up with payers until resolution.

  1. Coordinate with prescribers to obtain clinical notes, labs, and additional documents required for approvals or appeals.

Provider Credentialing & Payer Enrollments
  1. Complete credentialing and enrollment for providers with Medicare, Medi-Cal, and commercial insurance plans.

  1. Maintain and update CAQH, NPPES, PECOS, and payer portal information.

  1. Initiate and manage re-credentialing processes and track expiring documents.

  1. Maintain an organized, compliant credentialing database.

  1. Communicate with insurers and internal teams to ensure timely activation of provider billing privileges.

Division team/specific Accountabilities:
  1. Communicate with patients to gather information required for benefits verification, billing setup, financial counseling, and to ensure accurate processing of infusion orders and authorizations. Build clear, supportive communication that promotes trust and patient loyalty.

  1. Investigate and verify medical benefits for infusion and specialty biologic services, including deductible, co-pay, out-of-pocket costs, prior authorization requirements, site-of-care restrictions, step therapy, and medical policy guidelines.

  1. Coordinate with manufacturer financial assistance programs, copay foundations, and internal support teams to help eligible patients obtain financial support, copay cards, or patient-assistance funding when appropriate.

  1. Work closely with the Prior Authorization team by providing all required clinical and documentation updates, ensuring timely submission, tracking authorization progress, and maintaining consistent communication with the patient and provider.

  1. Facilitate denial and appeal processes by requesting denial documentation, gathering clinical records, and preparing appeal packets. Compose appeal letters based on denial reason, medical necessity, and the patient's clinical condition.

  1. Conduct regular status checks with insurance companies on pending authorizations, appeals, and claim adjudications. Obtain approval information, document outcomes, and update copay or financial assistance statuses when required.

  1. Identify, track, and escalate service-delaying issues related to prior authorizations, benefit determinations, clinical documentation, or financial assistance gaps to ensure uninterrupted patient therapy and timely infusion scheduling.

  1. Build and maintain effective working relationships with prescriber offices, referral partners, and clinical staff treating assigned disease states. Provide ongoing updates regarding case status, authorizations, and payer requirements.

  1. Complete all required assessments or checklists mandated by manufacturer programs, payer requirements, or internal workflow processes to ensure compliance with program standards.

  1. Review and respond to notifications of patients who require financial assistance, providing them with available program options, community resources, and support to help minimize out-of-pocket burden.

  1. Assist patients with submitting financial assistance applications, including obtaining consent forms, uploading documentation, completing electronic applications, and following up with financial assistance programs to prevent therapy interruptions.

  1. Maintain timely updates on pending or unfilled infusion orders, keeping prescription and authorization statuses current in the system at least every 48 hours or per department protocol.

  1. Ensure that all activities comply with organizational standards, payer guidelines, manufacturer program requirements, and HIPAA. Deliver service in a manner that meets the highest standards of quality, accuracy, and patient care.

Experience:
  • A minimum of 2 years of prior experience in a medical records department or like setting preferred.

  • Prior experience with an Infusion clinic. (preferred)

  • Dealing with third party billers. (preferred)

Behavioral Competencies:
  • Excellent verbal and written communication skills.

  • Excellent interpersonal, negotiation, and conflict resolution skills.

  • Excellent organizational skills and attention to detail.

  • Strong analytical and problem-solving skills.

  • Ability to prioritize tasks and to delegate them when appropriate.

  • Ability to act with integrity, professionalism, and confidentiality.

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