Billing Specialist

Vital Care Infusion Services•Alpharetta, GA

12d•Remote

About The Position

The Billing Specialist processes Home Infusion medical claims with a focus on accuracy, timeliness, and adherence to established processes to reduce denials, days sales outstanding (DSO), and bad debt. The role performs revenue cycle billing duties within standard compliance practices. This is a full-time, 100% remote position. The salary range is $18.92–$23.46. Vital Care is a pharmacy franchise business with more than 100 franchised infusion pharmacies and clinics across 35 states. The company supports locally owned franchises serving patients with chronic and acute conditions, particularly in underserved and secondary markets.

Requirements

Two to five years of home infusion billing and/or collections experience.
High school diploma and additional specialized training in intake, pharmacy/medical billing, and/or collections.
Excellent English communication skills, including listening, speaking, understanding, and writing, with the ability to answer questions and advance reimbursement and collection efforts with patients, caregivers, payer representatives, and others.
Demonstrated understanding of processes, systems, and techniques for successful billing and collection across payer types.
Ability to identify documentation gaps and problems, determine lasting solutions, make effective decisions, and take corrective action.
Strong organizational skills and ability to maintain clear, complete records of activities, cases, and related documentation.
Knowledge and skill in using the MS Office suite and pharmacy applications.
Ability to perform duties in a designated workspace outside the dedicated RCM location.
Disciplined work ethic and ability to work remotely with little direct supervision and meet production and collection targets.

Nice To Haves

Experience in an infusion suite setting.
Previous experience working remotely.
Detail-oriented, with post-billing and post-payment investigative experience.

Responsibilities

Create and submit medical, pharmacy, and third-party vendor claims accurately and on time.
Ensure all revenue opportunities are included and submit complete billing to primary and secondary payers.
Resolve rejected electronic claims so the current submission succeeds and future submissions are not rejected.
Maintain ready-to-bill delivery tickets and appropriately flag tickets that cannot be billed for communication within RCM and franchises.
Document case activity, communications, and correspondence in CareTend to maintain complete and accurate account records.
Contribute medical billing expertise to the design of training and knowledge-transfer programs, materials, policies, and procedures to improve RCM team efficiency and effectiveness.
Perform other related duties as assigned.

Benefits

Comprehensive medical, dental, and vision plans.
Flexible spending accounts and health savings accounts.
Paid time off, personal days, and company-paid holidays.
Paid parental leave.
Volunteerism days off.
Company-sponsored basic life insurance and long-term disability insurance.
Employee-paid voluntary life, accident, critical illness, and short-term disability insurance.
401(k) matching.
Tuition reimbursement.
Employee assistance programs covering mental health, financial, and legal support.
Rewards programs offered by the medical carrier.
Professional development and growth opportunities.
Employee referral program.