Billing Specialist
Role Overview
Perform duties to process Home Infusion medical claims with a focus on accuracy, timeliness, and adherence to process, to reduce denial rate, DSO, and bad debt. Performs revenue cycle billing duties to process within the limits of standard Compliance practices.
Key Skills for This Role
Full Job Posting
Job Summary
Perform duties to process Home Infusion medical claims with a focus on accuracy, timeliness, and adherence to process, to reduce denial rate, DSO, and bad debt. Performs revenue cycle billing duties to process within the limits of standard Compliance practices.
Duties/Responsibilities
- Create and submit medical, pharmacy and third-party vendor claims timely and accurately. Ensure all revenue opportunities are included, and complete and submit billing to primary and secondary payers .
- Resolve rejected electronic claims so that current submission is successful and future submissions are not rejected.
- Maintain ready-to-bill delivery tickets and indicate tickets that cannot be billed with appropriate status for communication purposes within RCM and Franchises
- Document case activity, communications, and correspondence in CareTend to ensure completeness and accuracy of account activity.
- Contribute medical billing expertise to the design of training and knowledge transfer programs, materials, policies, and procedures to improve the efficiency and effectiveness of the RCM team.
- Perform other related duties as assigned.
Required Skills/Abilities
- Excellent communications skills; listening, speaking, understanding, and writing English while influencing patients, caregivers, payer representatives, and others, answering questions, and advancing reimbursement and collection efforts.
- Proven understanding of processes, systems, and techniques to ensure successful billing and collection working with all payer types.
- Proven ability to identify gaps and problems from a review of documentation, determine lasting solutions, make effective decisions, and take necessary corrective action.
- Strong organization skills with the ability to track and maintain clear, complete records of activities, cases, and related documentation.
- Proven knowledge and skill in the utilization of MS Office suite of software and pharmacy applications.
- Ability to complete job duties in a designated workspace outside the dedicated RCM location.
- Disciplined work ethic with ability to work remotely with little direct supervision and meet production and collection targets.
Education and Experience
2-5 years home infusion billing and/or collections experience required.
High School Diploma and additional specialized training in intake, pharmacy/medical billing, and/or collections.
Experience in an infusion suite setting is a plus.
Previous remote work environment is a plus but not required.
Detailed oriented with post-billing and post-payment investigative experience preferred.
Physical Requirements:
Sitting: Prolonged periods of sitting are typical, often for the majority of the workday.
Keyboarding: Frequent use of a keyboard for typing and data entry.
Reaching: Occasionally reaching for items such as files, documents, or office supplies.
Fine Motor Skills: Precise movements of the fingers and hands for tasks like typing, using a mouse, and handling paperwork
Visual Acuity: Good vision for reading documents, computer screens, and other detailed work.
Vital Care Infusion Services is an equal-opportunity employer and values diversity at our company. We do not discriminate on the basis of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans’ status, or any other basis protected by applicable federal, state, or local law.
Vital Care is a U.S.-based employer and hires only individuals who are authorized to work in the United States and who perform their work from within the United States. Applicants and employees must accurately disclose their current work location and work authorization status during the application and hiring process. Any material misrepresentation or omission regarding identity, location, work authorization, qualifications, or other employment-related information may result in withdrawal of a job offer, immediate termination of employment, and pursuit of any remedies available under applicable law. Vital Care Infusion Services participates in E-Verify.
This position is remote and full-time. The salary range for this position is $18.92-$23.46.
Requirements
- Excellent communications skills; listening, speaking, understanding, and writing English while influencing patients, caregivers, payer representatives, and others, answering questions, and advancing reimbursement and collection efforts.
- Proven understanding of processes, systems, and techniques to ensure successful billing and collection working with all payer types.
- Proven ability to identify gaps and problems from a review of documentation, determine lasting solutions, make effective decisions, and take necessary corrective action.
- Strong organization skills with the ability to track and maintain clear, complete records of activities, cases, and related documentation.
- Proven knowledge and skill in the utilization of MS Office suite of software and pharmacy applications.
- Ability to complete job duties in a designated workspace outside the dedicated RCM location.
- Disciplined work ethic with ability to work remotely with little direct supervision and meet production and collection targets.
About Vital Care Infusion Services
Private infusion-pharmacy franchisor serving patients with chronic and acute conditions through locally owned pharmacies.
Visit company websiteJobs and hiring trendsApply for this job in 1 click
Skip the repetitive application forms
Install the Base Career Chrome Extension and autofill job applications across major job boards with your profile.
Trusted by over 500,000 job seekers on Base Career
More from this employer
More jobs at Vital Care Infusion Services
Collections Manager - RCM
, USA
Collections Specialist
, USA
Billing Specialist
, USA
Collections Manager - Revenue Cycle Manager
, USA
Collections Specialist
, USA
Collections Manager - RCM
, USA
Implementation Manager - Pharmacy Technician
, USA
Pharmacy Technician Implementation Manager
, USA