Billing Specialist

Vital Care Infusion Services•Dallas, TX

3d•Remote

About The Position

The Billing Specialist processes Home Infusion medical claims accurately and promptly, following standard compliance practices. The role focuses on reducing denials, days sales outstanding (DSO), and bad debt through revenue cycle billing. This is a full-time, 100% remote position. Vital Care is a U.S.-based employer; employees must be authorized to work in the United States and perform their work from within the United States. 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 supports franchise owners in launching and operating locally owned infusion businesses and emphasizes an inclusive, growth-focused workplace.

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, and the ability to influence patients, caregivers, payer representatives, and others while answering questions and advancing reimbursement and collection efforts.
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 Microsoft Office software 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.
Must be 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.
Ensure all revenue opportunities are included and submit complete billing to primary and secondary payers.
Resolve rejected electronic claims so current submissions succeed and future submissions are not rejected.
Maintain ready-to-bill delivery tickets and appropriately mark tickets that cannot be billed to communicate status within RCM and franchises.
Document case activity, communications, and correspondence in CareTend to ensure account records are 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

Comprehensive 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.