Medical Records Reimbursement Specialist

Medix Infusion is seeking a dedicated and detail-oriented Medical Records Reimbursement Specialist to join our team. In this crucial administrative role, you will manage a high volume of intake requests and focus on reimbursement documentation, primarily related to infusion services. Experience with infusion collections, insurance/payer knowledge, and medical records review (specifically infusion-related) is essential. You will play a key role in ensuring accurate documentation and adherence to payor guidelines to support timely and complete reimbursement.

This is an excellent opportunity to join a growing company that values its employees, offering competitive compensation and benefits.

About Medix Infusion:

Medix Infusion is a technology-driven healthcare platform enhancing patient care and access to infusion therapies, specializing in disease management and infusion pharmacy services for chronic and acutely ill patients, especially in underserved communities. We offer personalized home and in-suite infusion therapies, ensuring convenience and comfort. Our expert team provides a comprehensive range of treatments, including anti-infectives, biologics, IVIG, and other injectables, making each patient’s journey as smooth as possible.

Key Responsibilities:

• Process and prioritize a high volume of incoming referrals and faxed intake documents.
   
• Review and route hard copy and electronic documents to appropriate departments.
   
• Create and maintain accurate patient records in the EMR system.
   
• Scan, upload, and organize patient documentation with accuracy and confidentiality.
   
• Review medical records with a focus on infusion services and documentation requirements.
   
• Ensure compliance with payer guidelines and assist with reimbursement efforts.
   
• Collaborate with billing, collections, and clinical teams to resolve documentation or billing issues.
   
• Monitor and complete intake follow-up tasks to ensure timely care and payment.
   
• Attend required meetings, trainings, and in-service sessions.
   
• Use Microsoft Outlook, Teams, Word, and Excel for daily communication and documentation.
   
• Perform additional administrative tasks as assigned by the department lead.
   

Required Qualifications:

• High School Diploma or equivalent.
   
• 1+ year of experience in a healthcare setting, with a strong background in infusion collections and payer requirements.
   
• Insurance/payer knowledge and familiarity with payer-specific documentation guidelines.
   
• Strong understanding of medical records and reimbursement processes, particularly related to infusion therapy.
   
• Medical Assistant (MA) or Pharmacy Technician (PhT) experience or education preferred.
   
• Familiarity with electronic medical records and patient intake processes is a plus.
   
• Strong attention to detail and organizational skills.
   
• Excellent communication and customer service skills.
   
• Ability to handle confidential information with professionalism.
   
• Proficiency in Microsoft Office (Word, Excel, Outlook).
   
• Candidates will be required to complete a Predictive Index Assessment as part of the recruitment process.
   

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the primary functions of this job. While performing the duties of this job, the employee may be required to frequently stand, walk, sit, bend, twist, talk, and hear. There may be prolonged periods of sitting, keyboarding, and reading. The employee must occasionally lift and/or move up to 30 pounds. Specific vision abilities required by this job include reading, distance, computer, and color vision. Talking and hearing are essential to communicate with patients, vendors, and staff.

Confidentiality Agreement:

All employees must uphold confidentiality and patient care principles to the fullest extent. Breaches of these principles will result in immediate termination.

Why Join Us?

• Compassionate Team: Join a dedicated team focused on exceptional patient care.
   
• Supportive Environment: Thrive in a positive work culture with growth opportunities.
   
• Competitive Compensation: Enjoy a comprehensive benefits package and competitive pay.
   
• Excellent Culture: Rated highly by our employees (NPS Score).
   
• Patient-First Approach: We treat others as we want ourselves or our families treated.
   
• Integrity: We are committed to doing the right thing in all situations.
   
• Team-Oriented: Work in a collaborative environment with an emphasis on positive intent.
   
• Comprehensive Benefits: Health and life insurance, voluntary dental/vision insurance.
   
• Retirement Savings: 401(k) plan with company contributions.
   
• Paid Time Off: Enjoy paid holidays and vacation time.
   

Medix Infusion offers a dynamic work environment, opportunities for professional growth, rewarding career challenges, and competitive compensation.

We are an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status, or other characteristics protected by law.

Medix Infusion will only employ individuals who are legally authorized to work in the United States. Any offer of employment is conditioned upon the successful completion of pre-employment screenings.