What are the responsibilities and job description for the Medical Billing Specialist position at Insight Global?
Required Skills & Experience
- 5–10 years of healthcare reimbursement, medical billing, or revenue cycle experience (home infusion strongly preferred)
- Hands-on experience with billing operations, payer follow-ups, denials, collections, and accounts receivable management
- Knowledge of Medicare, Medicaid, commercial payers, and managed care reimbursement processes
- Experience with EDI claims processing and clearinghouse platforms (e.g., Waystar)
- Familiarity with CPR or similar billing systems
- Strong analytical, organizational, and problem-solving skills
- Excellent communication skills and ability to collaborate across departments
- Ability to manage multiple priorities in a fast-paced environment
Nice to Have Skills & Experience
- Bachelor’s degree in Business, Healthcare Administration, Finance, or related field
- AHIMA, AAPC, or similar certification
- Experience in home infusion, specialty pharmacy, or infusion services settings
- Experience creating reports for hospital or health system leadership
Job Description
A client of Insight Global is seeking a Home Infusion Billing and Reimbursement Specialist to lead revenue cycle operations within a home infusion environment. This role is responsible for overseeing billing, collections, payment posting, and denial management while ensuring accuracy and compliance across reimbursement processes.
This person will partner cross-functionally with operations, clinical teams, and leadership to improve cash collections, reduce reimbursement leakage, and optimize overall financial performance. Additionally, this individual will monitor key revenue cycle metrics, drive process improvements, and manage audits.
Key Responsibilities:
- Lead billing and reimbursement operations including claims, collections, payment posting, and AR follow-up
- Oversee end-to-end revenue cycle processes (intake, authorization, billing, collections)
- Manage denials, underpayments, and appeals to maximize reimbursement
- Track key metrics (DSO, aging, denial trends, cash collections) and improve performance
- Ensure accurate, compliant billing and maintain reimbursement systems/data
- Prepare reporting and support month-end revenue cycle activities
- Conduct audits and support compliance with payer requirements
- Serve as reimbursement SME and partner with leadership on process improvements