Collections Specialist - Revenue Cycle Management

Vital Care Infusion Services • Dallas, TX

2d • $19 - $23 • Remote

About The Position

Vital Care is hiring a full-time, 100% remote Collections Specialist for its Revenue Cycle Management team. The role collects Home Infusion claims with an emphasis on accuracy, timeliness, and following established processes to reduce denials, days sales outstanding (DSO), and bad debt. The specialist identifies additional revenue opportunities, improves collection rates, and performs revenue cycle collection duties within standard or accepted practice limits.

The position works with insurers, patients, franchise partners, and internal departments to resolve outstanding claims and payer issues. It includes researching denials, preparing and submitting appeals, investigating benefits, documenting account activity, and communicating patients’ financial obligations. The specialist also contributes billing expertise to training and process improvements. The position is remote and requires the employee to 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 influence and assist patients, caregivers, payer representatives, and others.
• 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 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 from a designated workspace outside the dedicated RCM location.
• Disciplined work ethic and ability to work remotely with minimal direct supervision while meeting production and collection targets.

Nice To Haves

• Previous experience working remotely.
• Detail-oriented, with post-billing and post-payment investigative experience.

Responsibilities

• Review claims with outstanding balances, identify actions needed to collect revenue, and follow up with insurers and patients.
• Use payer portals to determine claim disposition and pursue outstanding balances while building customer and business relationships.
• Review EOBs, remittance advices, and other documents; identify denial reasons, take corrective action, and own claims through successful, timely collection.
• Analyze denials, identify trends, and recommend improvements to reduce DSO and bad debt, improve collection rates, and simplify payer-responsive processes.
• Determine payer appeal requirements; verify insurance information, order medical records, review claim coding, compile supporting documentation, and submit appeals according to payer requirements and company processes.
• Communicate collections status with franchise partners and internal departments and resolve payer issues promptly.
• Document case activity, communications, correspondence, and actions in the computer system, and schedule follow-ups at required intervals.
• Investigate and verify benefits for pharmacy and medical third-party claims.
• Communicate billing problems identified during collections to help prevent recurrence.
• Explain patients’ financial obligations and therapy costs before services begin.
• Contribute billing expertise to training and knowledge-transfer programs, materials, policies, and procedures for the RCM team.
• Assist with online adjudication of collection issues and nurse billing as assigned.
• 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 support.
• Rewards programs offered by the medical carrier.
• Professional development and growth opportunities.
• Employee referral program.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED