SaaS Software and services for post-acute care and Pharmacy home-infusion
Home Infusion Reimbursement Specialist
Location
United States
Posted
1 day ago
Salary
$16 - $25 / hour
Seniority
Mid Level
Job Description
As a global leader in health technology, ResMed has long pioneered cloud-connected medical devices and digital solutions that support people with sleep apnea, COPD, and other chronic conditions. Today, the company extends that expertise through Brightree's Residential Care Software (RCS), a dedicated partner helping post-acute care organizations strengthen financial performance and operational efficiency. With specialized teams, industry-leading workflows, and technology-enabled processes that manage every stage of the revenue cycle, our Residential Care Software empowers home- and facility-based providers to reduce administrative burden, accelerate reimbursement, and maintain compliance. Together with ResMed’s broader digital health ecosystem, RCS is transforming how care organizations sustain and grow their business.
Are you an experienced professional with a minimum of 2 years of home infusion billing and accounts receivable experience? If so, we have an exciting opportunity for you as a Home Infusion Reimbursement Coordinator. In this role, you will be a key player in ensuring accurate and timely reimbursement for home infusion services navigating the complexities of billing, claims, and compliance.
Let's talk about Responsibilities:
As a Home Infusion Reimbursement Coordinator, your primary focus will be on orchestrating the reimbursement process for home infusion services. This includes
Managing billing procedures
Resolving complex claims
Staying abreast of regulatory changes to maintain compliance.
Engaging with internal and external stakeholders to streamline processes and optimize revenue outcomes.
Collaborating with cross-functional teams to achieve service and sales goals.
Let’s talk about Qualifications and Experience
Minimum of 2 years of home infusion billing experience.
2 years of experience in maintaining HIPAA standards.
Proficient in using computers and Microsoft products (Excel and Word).
Strong motivation in billing, claims, and document management.
Effective communication skills and problem-solving abilities.
High school diploma required; equivalent education and experience considered.
Broad knowledge of routines and procedures.
Proven track record of working towards and exceeding metrics.
We are shaping the future at ResMed, and we recognize the need to build on and broaden our existing skills and continue to attract and retain the world’s best talent. We work hard to offer holistic benefits packages, provide flexible work arrangements, cultivate a workforce culture that allows employees to grow personally and professionally, and deliver competitive salaries to our team members. Employees scheduled to work 30 or more hours per week are eligible for benefits. This position qualifies for the following benefits package: comprehensive medical, vision, dental, and life, AD&D, short-term and long-term disability insurance, sleep care management, Health Savings Account (HSA), Flexible Spending Account (FSA), commuter benefits, 401(k), Employee Stock Purchase Plan (ESPP), Employee Assistance Program (EAP), and tuition assistance. Employees accrue fifteen days Paid Time Off (PTO) in their first year of employment, receive 11 paid holidays plus 3 floating days and are eligible for 14 weeks of primary caregiver or two weeks of secondary caregiver leave when welcoming new family members.
Individual pay decisions are based on a variety of factors, such as the candidate’s geographic work location, relevant qualifications, work experience, and skills.
At ResMed, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current base range for this position is: 16.48 - 24.72 USD Hourly.
For remote positions located outside of the US, pay will be determined based the candidate’s geographic work location, relevant qualifications, work experience, and skills.
Joining us is more than saying “yes” to making the world a healthier place. It’s discovering a career that’s challenging, supportive and inspiring. Where a culture driven by excellence helps you not only meet your goals, but also create new ones. We focus on creating a diverse and inclusive culture, encouraging individual expression in the workplace and thrive on the innovative ideas this generates. If this sounds like the workplace for you, apply now! We commit to respond to every applicant.
Job Requirements
- Minimum of 2 years of home infusion billing experience
- 2 years of experience in maintaining HIPAA standards
- Proficient in using computers and Microsoft products (Excel and Word)
- Strong motivation in billing, claims, and document management
- Effective communication skills and problem-solving abilities
- High school diploma required; equivalent education and experience considered
- Broad knowledge of routines and procedures
- Proven track record of working towards and exceeding metrics
- Experience in home infusion billing and accounts receivable
Benefits
- Comprehensive medical, vision, dental, and life insurance
- AD&D, short-term and long-term disability insurance
- Sleep care management
- Health Savings Account (HSA)
- Flexible Spending Account (FSA)
- Commuter benefits
- 401(k)
- Employee Stock Purchase Plan (ESPP)
- Employee Assistance Program (EAP)
- Tuition assistance
- Fifteen days Paid Time Off (PTO) in the first year
- 11 paid holidays plus 3 floating days
- 14 weeks of primary caregiver or two weeks of secondary caregiver leave when welcoming new family members
Related Guides
Related Categories
Related Job Pages
More Claims Specialist Jobs
Home Infusion Reimbursement Specialist
ResMedPioneering innovative medical device and digital health solutions that treat and keep people out of the hospital.
The primary focus is orchestrating the reimbursement process for home infusion services, which involves managing billing procedures, resolving complex claims, and staying current with regulatory changes to ensure compliance. This role also requires engaging with stakeholders to streamline processes and optimize revenue outcomes.
Lead Claims Specialist - General Liability - Major Case Unit
GallagherInclusion and diversity (I&D) is a core part of our business, and it’s embedded into the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work. Gallagher embraces our employees’ diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest. Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on protected characteristics by applicable federal, state, or local laws.
The Lead Claims Specialist will independently conduct detailed analysis for investigating claims exposure, recommend settlement strategies, create reservation of rights/denial letters, and negotiate resolutions directly with involved parties. This role also involves handling claims according to policies, documenting activity, and coaching or supervising lower-level adjusters.
Senior Workers Compensation Claims Adjuster - PA, NJ, DE
GallagherInclusion and diversity (I&D) is a core part of our business, and it’s embedded into the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work. Gallagher embraces our employees’ diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest. Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on protected characteristics by applicable federal, state, or local laws.
The role involves applying claims management experience to analyze claim exposure, plan actions, and resolve workers' compensation claims, while extensively interacting with various parties to ensure effective communication and resolution. Adjusters will investigate, evaluate, and resolve complex indemnity/lost time claims, applying analytical skills and partnering with clients to enhance the claims management process.
Denial Management Associate
EvergreenHealthEvergreenHealth is a physician-led, integrated health care system that serves nearly one million residents in King and Snohomish counties and offers a breadth of services and programs that is among the most comprehensive in the region. A staff of 5,000 provides clinical excellence in over 80 specialties, including heart and vascular care, oncology, surgical care, orthopedics, neurosciences, women’s and children’s services, pulmonary care, infectious disease and travel medicine, and home care and hospice services. EvergreenHealth is located in Kirkland, WA. Your personal and family needs will be satisfied living in Kirkland, a vibrant waterfront destination with an unparalleled blend of outdoor recreation, art, dining and boutique shopping. Here are some of the prominent awards we've received in recent years: "America’s 50 Best Hospitals" – Healthgrades "Best Hospitals" – US News & World Report “’A’ Rating for Patient Safety” – The Leapfrog Group “5-Star Rating” – CMS Hospital Compare
The role is responsible for the initial screening, routing, and prevention of payer denials by serving as the primary contact for denied claims, determining if they require appeal, rebilling, or correction. This position also identifies authorization-related denial trends and partners with clinical and operational departments to reduce future denials.


