• Experienced Revenue Cycle Management (RCM) Specialist with a strong background in home infusion services, specializing in end-to-end billing processes
• Has ability to navigate the unique reimbursement landscape of home infusion, including coordination with Medicare Part B/D, Medicaid, and commercial payers.
• Skilled in verifying insurance eligibility, obtaining prior authorizations and ensuring accurate charge capture and timely claim submission.
•Manage denials, appeals, and collections while maintaining strict compliance with HIPAA and payer-specific guidelines.
•Adept in using infusion-specific billing softwares such as CPR+ and Carelink.
•Committed to maximizing reimbursement while delivering exceptional support to patients and clinical teams.