Billing Specialist - Revenue Cycle Management

Vital Care Infusion Services•Tucson, AZ

22h•Remote

About The Position

Vital Care is seeking a Billing Specialist to process Home Infusion medical claims accurately and on time, following standard compliance practices. The role focuses on reducing denials, days sales outstanding (DSO), and bad debt by performing revenue cycle billing duties. This is a full-time, 100% remote position. Employees must work from within the United States and be authorized to work in 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, and the ability to influence patients, caregivers, payer representatives, and others while 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 track and maintain clear, complete records of activities, cases, and related documentation.
Knowledge and skill in using the MS Office suite and pharmacy applications.
Ability to work from a designated workspace outside the dedicated RCM location.
Disciplined work ethic, ability to work remotely with little direct supervision, and ability to meet production and collection targets.

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.
Ensure all revenue opportunities are included and submit 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, supporting communication within RCM and with 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.