Billing Specialist
About The Position
Vital Care is hiring a remote Billing Specialist to process Home Infusion medical claims accurately and on time, following compliance practices. The role focuses on reducing denials, days sales outstanding (DSO), and bad debt while processing revenue-cycle billing within standard compliance procedures. The position is 100% remote and full-time. The salary range is $18.92–$23.46. Vital Care is a pharmacy franchise business serving patients with chronic and acute conditions through more than 100 franchised infusion pharmacies and clinics in 35 states. The company describes its environment as inclusive and growth-focused, where every voice matters.
Requirements
- 2–5 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 influence patients, caregivers, payer representatives, and others while advancing reimbursement and collection efforts.
- Proven 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 organization skills and ability to track and maintain clear, complete records of activities, cases, and related documentation.
- Knowledge and skill using Microsoft Office software and pharmacy applications.
- Ability to complete job duties in a designated workspace outside the dedicated RCM location.
- Disciplined work ethic and ability to work remotely with little direct supervision while meeting production and collection targets.
- Authorized to work in the United States and perform work from within the United States.
Nice To Haves
- Experience in an infusion suite setting.
- Previous experience working remotely.
- Attention to detail and post-billing and post-payment investigative experience.
Responsibilities
- Create and submit medical, pharmacy, and third-party vendor claims accurately and on time, ensuring all revenue opportunities are included and billing is completed for 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 mark tickets that cannot be billed with an appropriate status for communication within RCM and franchises.
- Document case activity, communications, and correspondence in CareTend to ensure account activity is complete and accurate.
- 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
- Medical, dental, and vision plans
- Flexible spending and health savings accounts
- Paid time off, personal days, and company-paid holidays
- Paid paternal 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 for mental health, financial, and legal support
- Rewards programs offered by the medical carrier
- Professional development and growth opportunities
- Employee referral program
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
