Billing Specialist

Vital Care Infusion Services•Glendale, AZ
•$19 - $23•Remote

About The Position

The Billing Specialist processes Home Infusion medical claims accurately and promptly, following established processes and standard compliance practices. The role handles revenue-cycle billing with the goals of reducing denials, days sales outstanding (DSO), and bad debt. This is a full-time, 100% remote position. Work must be performed 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, to answer questions and advance reimbursement and collection efforts with patients, caregivers, payer representatives, and others.
  • 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 maintain clear, complete records of activities, cases, and related documentation.
  • Knowledge and skill in using the MS Office suite 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.
  • Must be authorized to work in the United States and perform the work from within the United States; applicants and employees must accurately disclose work location and work authorization status.

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, ensuring all revenue opportunities are included and billing is submitted 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 status tickets that cannot be billed to support communication within RCM 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 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.
  • Voluntary life, accident, critical illness, and short-term disability insurance.
  • 401(k) matching.
  • Tuition reimbursement.
  • Employee assistance programs for mental health, financial, and legal needs.
  • Rewards programs offered by the medical carrier.
  • Professional development and growth opportunities.
  • Employee Referral Program.
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