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Infusion Billing Specialist (30842)

GI Alliance, Rocky Hill, CT, United States


Job Summary
Reporting to the Site Supervisor, the Biologic Billing Specialist will provide billing support to the Practice by coding and entering infusion charges.

Duties and Responsibilities

Research and resolve unpaid claims and credit balances within established timeframe

Submit appeals as needed

Verify coverage and confirm Verification of Benefits

Complete enrollments for patient savings programs as needed

Maintain current knowledge of covered and non-covered CPT and ICD-10 coding using monthly payer bulletins and updates provided by Team Lead, Supervisor or Manager

Communicate with Biologic Triage Team and Infusion Center Nurses as needed

Utilize payer websites when available

Communicate issues with provider reps as needed

Follow established policies, control processes, procedures and guidelines

Check email frequently throughout the day to ensure all communications are received

Other duties as assigned

Required Skills and Abilities

Strong problem‑solving skills

Possess strong computer skills, including proficiency in Excel

Demonstrate excellent oral and written communication skills to effectively communicate with patients, physicians, peers, insurance companies and pharmacy personnel

Have a broad knowledge of medical terminology

Ability to prioritize and multi‑task; able to function in a fast‑paced, at times stressful environment

Be able to function independently and as part of a team

Proficient in EPIC

Qualifications
Education: High School Diploma or GED required; associate’s degree preferred.

Experience: Minimum two (2) years of infusion billing experience required.

Additional Qualifications: N/A

Performance Requirements

Excellent communication skills, both written and verbal

Proficient technical (computer) skills

Ability to multi‑task and prioritize

Self‑motivated with initiative

Strong sense of ethics

GI Alliance is an Equal Opportunity Employer. We are committed to creating an inclusive, welcoming, and equitable work environment. Our company values and celebrates the diversity of our physicians, staff and patients. We firmly believe our service is greatly enriched by our diversity of thought, experience, perspective, culture, and background.

EEO/AA-M/F/disabled/protected veteran

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