Start Date:

Open Until Filled. 

Qualifications:

• High school graduate or its equivalency
• Prior experience in billing or coding preferred
• Working knowledge of computers and billing software preferred
• Working knowledge of all payor billing requirements and policy guidelines
• Working knowledge of procedure and diagnostic coding
• Maintains a working knowledge of EHR and Registration systems

Duties &
Responsibilities:

Job Summary

The Infusion Claims Specialist is responsible for preparing and sending accurate billing information to billing agencies for processing of claims.  

Duties

• Runs encounter report by location and provider for each clinic and sorts as appropriate for each billing agency
• Verifies a registration exists for each encounter for exact date of service
• Reviews encounter report to ensure accuracy of name, date, provider, CPT code and diagnosis code. Updates incorrect information as appropriate with corresponding documentation for encounter
• Reviews encounter report for pharmaceutical requirements and convert into units as necessary 
• Assigns correct modifiers based on billing requirements by payor
• Verifies all insurance information and up-date information if necessary
• Communicates with Clinic Supervisor regarding charges, denials, or new billing requirements that may affect reimbursement
• Provides Clinic Supervisor examples of missing or inaccurate information pertinent to billing requirements
• Responds to all correspondence from billing agency within specified time frame
• Assists with authorizations as needed
• Trains additional staff as needed to complete functions outlined in job description
• Attends continuing education classes as requested by Clinic Management
• Performs other duties as assigned

Other Info:

Lifting Requirements:Semi- Sedentary: Sits and walks throughout workdayGenerally lifting objects not more than 20 pounds and/or carrying objects weighing up to 10 pounds

Job Posted:

01/30/2026

Contact Name:

Human Resources

Contact Phone:

530.712.2137

Contact Email:

hrrecruiting@orohosp.com