Collections Specialist - Revenue Cycle Management

Vital Care Infusion Services•Fort Worth, TX

1d•Remote

About The Position

The Collections Specialist performs revenue cycle collection duties for Home Infusion claims, emphasizing accuracy, timeliness, and adherence to processes that reduce denials, days sales outstanding (DSO), and bad debt. The role identifies additional revenue opportunities, improves collection rates, and works within standard or accepted practices. This is a full-time, 100% remote position. The specialist reviews outstanding claims, follows up with insurers and patients, investigates denials, and takes corrective action through successful collection. The position also verifies insurance and benefits, prepares and submits appeals, documents account activity, communicates financial obligations to patients, and works with franchise partners and internal departments. The role contributes billing expertise to training and process improvements and may assist with online adjudication and nurse billing.

Requirements

2–5 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 supporting documentation.
Knowledge and skill in using Microsoft Office software and pharmacy applications.
Ability to perform duties in a designated workspace outside the dedicated revenue cycle management 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 and identify actions to collect revenue.
Follow up with insurers and patients to collect outstanding balances while building enduring customer and business relationships.
Use internet-based payer portals to determine claim disposition.
Review explanations of benefits, remittance advices, and other claim acceptance or denial documents.
Identify denial reasons, take corrective action, and manage claims through timely, successful collection.
Analyze denials, identify trends, and recommend process improvements to reduce DSO and bad debt, improve collection rates, and simplify payer-responsive processes.
Identify payer requirements for appeals of denied claims.
Verify patient insurance information, order medical records, review original claim coding, compile supporting documentation, and submit appeals according to payer requirements and company processes.
Communicate collection status with franchise partners and other company departments, and resolve payer issues and concerns in a timely manner.
Document case activity, communications, and correspondence 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 medical billing expertise to training and knowledge-transfer programs, materials, policies, and procedures for the revenue cycle management 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 covering mental health, financial, and legal support.
Rewards programs offered by the medical carrier.
Professional development and growth opportunities.
Employee referral program.