Billing Specialist - Revenue Cycle Management

Vital Care Infusion Services•Tucson, AZ

1h•$19 - $23•Remote

About The Position

The Billing Specialist performs revenue cycle management duties to process Home Infusion medical claims accurately and promptly, following standard compliance practices. The role focuses on reducing denials, days sales outstanding (DSO), and bad debt, while ensuring complete billing and reimbursement activity. This is a full-time, 100% remote position. The employer hires only individuals authorized to work in the United States who perform their work from within the United States.

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 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 collections 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 track and maintain clear, complete records of activities, cases, and related documentation.
Knowledge and skill in using Microsoft Office software and pharmacy applications.
Ability to perform 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.

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, including all revenue opportunities and billing to primary and secondary payers.
Resolve rejected electronic claims so the current claim is successfully submitted and future submissions avoid rejection.
Maintain ready-to-bill delivery tickets and appropriately flag tickets that cannot be billed for communication within Revenue Cycle Management and with franchises.
Document case activity, communications, and correspondence in CareTend to maintain complete and accurate account records.
Contribute medical billing expertise to the development of training and knowledge-transfer programs, materials, policies, and procedures to improve the RCM team's efficiency and effectiveness.
Perform other related duties as assigned.

Benefits

Comprehensive medical, dental, and vision plans, plus 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, with 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.