Humetis Group

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Reimbursement Coordinator, Home Infusion

Humetis Group

Peachtree Corners, GA • On-site

Other

Re-posted 20 days ago


Job description

Job Title: Reimbursement Coordinator, Home Infusion
Employment Type: Full Time, Permanent
Location: Peachtree Corners, GA 30092

Summary

As a key member of our Home Infusion team, you'll manage the end to end reimbursement cycle-handling billing procedures, navigating complex claims, and ensuring full compliance with all regulatory requirements.

Responsibilities
  • Oversee and coordinate all aspects of the reimbursement process for home infusion services

  • Prepare and submit accurate infusion claims to medical payors (excluding prescription/NCPP payors)

  • Monitor claim status, investigate denials, and resolve billing issues promptly

  • Stay current on regulatory and payor specific guidelines to maintain HIPAA and compliance standards

  • Collaborate with internal stakeholders (e.g., clinical, sales, operations) and external partners to optimize revenue flow

  • Identify process improvement opportunities and implement best practices to enhance efficiency

Requirements (Must Haves)
  • Minimum 2 years of home infusion billing and reimbursement experience

  • At least 2 years maintaining HIPAA standards and working from a Front End Billing perspective

  • Proficient with Microsoft Office applications (Excel, Word) and general computer literacy

  • Strong organizational skills, attention to detail, and a proactive approach to document management

  • Excellent verbal and written communication, critical thinking, and problem solving abilities

  • High school diploma or equivalent (college degree or additional certifications a plus)

Preferred Qualifications
  • Demonstrated success in meeting or exceeding key performance metrics

  • Knowledge of collections processes

  • Broad understanding of home infusion routines and procedures

  • Prior experience or exposure to CVS Health/Quorum home infusion workflows (advantageous)

Soft Skills:
Motivated self starter who takes ownership of deliverables, thrives in a fast paced environment, and communicates effectively across teams.