Billing Specialist

Vital Care Infusion Services•Houston, TX

5d•Remote

About The Position

The Billing Specialist processes Home Infusion medical claims accurately and promptly while following standard compliance practices. The role focuses on reducing denials, days sales outstanding (DSO), and bad debt through revenue cycle billing work. This is a full-time, 100% remote position. The salary range is $18.92–$23.46. The specialist creates and submits medical, pharmacy, and third-party vendor claims; resolves rejected electronic claims; maintains delivery tickets and communicates billing status; and documents account activity in CareTend. The position also contributes billing expertise to training materials, policies, and procedures for the revenue cycle management (RCM) team. 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 participates in E-Verify.

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 work 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 Microsoft Office software and pharmacy applications.
Ability to complete 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.
Authorization to work in the United States and ability to perform the 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 the current submission succeeds and future submissions are not rejected.
Maintain ready-to-bill delivery tickets and assign an appropriate status to 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.