Collections Specialist - Revenue Cycle Management

Vital Care Infusion Services • Houston, TX

2d • $19 - $23 • Remote

About The Position

Vital Care is hiring a full-time, fully remote Collections Specialist for Revenue Cycle Management. The role collects Home Infusion claims with a focus on accuracy, timeliness, and adherence to processes that reduce denials, days sales outstanding (DSO), and bad debt. The specialist identifies additional revenue opportunities, improves collection rates, and performs revenue cycle collections within standard practice limits.

The position involves reviewing outstanding claims, following up with insurers and patients, investigating denials, submitting appeals, verifying benefits, and documenting collection activity. The specialist also communicates with franchise partners, other departments, and patients; identifies billing problems and process improvements; and contributes medical billing expertise to training and knowledge-transfer materials. The position is 100% remote and pays $18.92–$23.46 per hour.

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, and the ability to influence patients, caregivers, payer representatives, and others.
• Understanding of processes, systems, and techniques for successful billing and collections across payer types.
• Ability to identify gaps and problems through documentation review, 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 of and skill in using MS 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 working remotely.
• Detail orientation and post-billing and post-payment investigative experience.

Responsibilities

• Review claims with outstanding balances and identify actions to successfully collect revenue.
• Follow up with insurers and patients, using payer portals to determine claim disposition and collect balances while supporting enduring customer and business relationships.
• Review EOBs, remittance advices, and other claim documents; identify denial reasons, take corrective action, and manage claims through successful collection.
• Analyze denials, identify trends, and recommend process improvements to reduce DSO and bad debt and improve collection rates and processes.
• Identify payer appeal requirements; verify insurance information, order medical records, review claim coding, compile supporting documents, 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 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 so they understand therapy costs before services begin.
• Contribute medical 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 accounts 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 needs.
• Rewards programs offered by the medical carrier.
• Professional development and growth opportunities.
• Employee referral program.

What This Job Offers

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