Medical Biller - Home Infusion Specialty Pharmacy 25-00310 Job at Alura Workforce Solutions, Los Angeles, CA

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  • Alura Workforce Solutions
  • Los Angeles, CA

Job Description

Job Title
Medical Biller
Home Infusion Specialty Pharmacy


Overview
We are seeking an experienced and detail-oriented Medical Biller with specialized knowledge in home infusion pharmacy billing. The ideal candidate will have direct experience billing for IVIG, TPN, nursing per diem charges, and Part D drug charges, with a strong working knowledge of payer-specific billing guidelines.


What You'll Do
  • Accurately process and submit claims for infusion therapy services, including IVIG and TPN.
  • Bill and reconcile nursing per diem charges and infusion drug charges under Medicare Part D and commercial payers.
  • Convert IV drug dosages into correct, billable units to ensure compliant and accurate billing.
  • Review prescriptions, nursing notes, and therapy orders to validate billing charges.
  • Follow up on unpaid or underpaid claims, appealing as necessary to maximize reimbursement.
  • Collaborate closely with pharmacy, nursing, and reimbursement teams to maintain billing accuracy and compliance.
  • Stay updated on billing regulations, coding changes, and payer-specific guidelines for home infusion therapy.
What You'll Bring
  • Minimum of 2 years of recent experience in medical billing for a home infusion pharmacy setting.
  • Strong knowledge of IV drug billing, including experience with IVIG and TPN therapies.
  • Proficient in converting IV drug dosages to billable units for accurate charge entry.
  • Familiarity with Medicare Part D and commercial insurance billing practices.
  • Excellent attention to detail, organizational skills, and follow-through.
  • Experience with pharmacy management systems and billing software preferred.
Additional Details
  • Full-Time, Benefited - Direct Placement
  • On-Site/Hybrid
INDH Alura Workforce Solutions

Job Tags

Daily paid, Full time,

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