Basic Home Infusion (BHI) · 14 hours ago
Revenue Analyst
Wayne, NJ
Full-time
Onsite
Mid Level
3+ years expBasic Home Infusion (BHI) is dedicated to enhancing patient care through effective management of targeted drug delivery and infusion needs. They are seeking a Revenue Cycle Management (RCM) Analyst to support the financial performance of the home infusion business by reviewing claims, ensuring compliance, and liaising with payer representatives to resolve issues.
Health CareHospitality
Hiring Manager
Carly Guthrie
Responsibilities
Review detailed claims spreadsheets and supporting documentation for accuracy, completeness, and compliance with payer and contract requirements
Validate coding, modifiers, units, NDCs, authorization details, and billing logic prior to submission or appeal
Identify trends, errors, or process gaps contributing to denials or delayed reimbursement and escalate findings to the Director of Revenue Cycle Management
Assist with the preparation and review of appeal packets, reconsiderations, and formal dispute submissions
Communicate directly with payer representatives to escalate denials, resolve complex claim issues, and clarify payer-specific billing or policy requirements
Track payer responses, follow-up outcomes, and resolution status for escalated claims
Collaborate with billing, follow-up, clinical, and intake teams to resolve discrepancies impacting claims accuracy or payment
Support contract interpretation and application as it relates to reimbursement, billing methodology, and denial prevention
Maintain documentation of payer communications, escalation outcomes, and process updates
Assist with special projects, audits, and data analysis as assigned by the Director of Revenue Cycle Management
Qualification
Required
Associate or Bachelor's degree in Healthcare Administration, Business, Finance, or a related field, or equivalent work experience
Minimum of 3–5 years of experience in revenue cycle, billing, or reimbursement, preferably within home infusion, specialty pharmacy, or home health
Strong working knowledge of medical and pharmacy billing concepts, including HCPCS codes, CPT codes, modifiers, NDCs, and payer authorization requirements
Experience reviewing claims data, spreadsheets, and detailed reports with a high level of accuracy
Familiarity with payer portals, remittance advice, and denial codes
Ability to communicate professionally and effectively with payer representatives and internal stakeholders
Strong analytical, organizational, and problem-solving skills
Proficiency in Microsoft Excel and other Microsoft Office applications
Preferred
Experience with home infusion reimbursement models and payer-specific billing nuances
Knowledge of Medicare, Medicaid, and commercial payer policies related to home infusion services
Experience with claim appeals, denial management, and payer escalation processes
Familiarity with revenue cycle management systems and reporting tools
Company
Basic Home Infusion (BHI)
Basic Home Infusion (BHI) is a highly specialized home infusion company providing high quality and cost effective at home services since 1983.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Jeffrey Foreman
Chief Executive Officer
Roy Putrino
CEO/Pharmacist
Company data provided by crunchbase