Collections Specialist - Revenue Cycle Management

Vital Care Infusion Services•Philadelphia, PA

3d•$19 - $23•Remote

About The Position

Vital Care Infusion Services is hiring a full-time, 100% remote Collections Specialist in Revenue Cycle Management. 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 revenue opportunities, improves collection rates, and performs revenue cycle collection duties within standard practice limits. The position works with insurers, patients, franchise partners, and internal departments to resolve outstanding claims and communicate financial obligations. It also contributes billing expertise to training and process improvement efforts. The role requires a designated workspace outside the dedicated RCM location and the ability to work remotely with minimal direct supervision. Vital Care describes itself as a pharmacy franchise business with more than 100 franchised infusion pharmacies and clinics across 35 states. The salary range is $18.92–$23.46 per hour.

Requirements

Two to five years of home infusion billing and/or collections experience.
High school diploma and additional specialized training in intake, pharmacy or medical billing, and/or collections.
Excellent English communication skills, including listening, speaking, understanding, and writing, with the ability to answer questions and advance reimbursement and collection efforts.
Demonstrated understanding of billing and collection processes, systems, and techniques 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 complete duties in 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 in a remote work environment.
Detail-oriented with post-billing and post-payment investigative experience.

Responsibilities

Review claims with outstanding balances, identify actions to collect revenue, and follow up with insurers and patients using payer portals.
Review EOBs, remittance advices, and other claim documents; identify denial reasons, take corrective action, and manage claims through successful collection.
Analyze denial trends and recommend process improvements to reduce DSO and bad debt, improve collection rates, and simplify payer-responsive processes.
Identify 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 collection status with franchise partners and other departments, and resolve payer issues and concerns in a timely manner.
Document case activity, communications, and correspondence in the computer system, maintain accurate account records, and schedule follow-ups at required intervals.
Investigate and verify benefits for pharmacy and medical third-party claims.
Report billing problems identified during collections to help prevent recurrence.
Explain patients’ financial obligations so they understand therapy costs before services begin.
Contribute medical billing expertise to training and knowledge-transfer programs, materials, policies, and procedures that improve RCM team effectiveness.
Assist with online adjudication of collection issues and nurse billing as assigned.
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.