Collections Specialist - Revenue Cycle Management

Vital Care Infusion Services•Tucson, AZ

12h•$19 - $23•Remote

About The Position

Vital Care is hiring a full-time, fully remote Collections Specialist for its Revenue Cycle Management team. The role collects Home Infusion claims, emphasizing accuracy, timeliness, and adherence to 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 requires working from within the United States.

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 influence patients, caregivers, payer representatives, and others 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 of and skill in using Microsoft Office software and pharmacy applications.
Ability to perform 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.
Post-billing and post-payment investigative experience.
Attention to detail.

Responsibilities

Review claims with outstanding balances, identify actions needed to collect revenue, and follow up with insurers and patients while building enduring customer and business relationships.
Use internet-based payer portals to determine claim disposition.
Review explanations of benefits, remittance advices, and other documents indicating denials or claim acceptance; identify denial reasons, take corrective action, and manage claims through timely collection.
Analyze denial trends and recommend process improvements to reduce DSO and bad debt, improve collection rates, and simplify payer-responsive processes.
Identify payer requirements for appeals; verify 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, 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.
Report billing problems found during collections to help prevent recurrence.
Explain patients’ financial obligations so they understand therapy costs before service begins.
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 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.