Intake Specialist

Vital Care Infusion Services • Monroeville, PA

8d • $19 - $23 • Onsite

About The Position

The Intake Specialist processes referrals with a focus on accuracy, timeliness, and adherence to established processes to reduce denials, days sales outstanding (DSO), and bad debt. The role also identifies additional revenue opportunities and supports improved collection rates within standard or accepted practice limits. Responsibilities include credentialing and re-credentialing, as well as contract applications.

This is a full-time, onsite position in Meridian, Mississippi. The salary range is $18.92–$23.46.

Requirements

• High school diploma or equivalent, plus specialized training in intake, pharmacy or medical billing, and/or collections.
• Two years of intake, medical billing, and/or collections experience.
• Two years of home infusion therapy experience.
• Excellent English communication skills, including listening, speaking, understanding, and writing, with the ability to influence patients, caregivers, and payer representatives and advance reimbursement and collection efforts.
• Understanding of processes, systems, and techniques for successful billing and collection 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.
• Proven knowledge and skill in using the MS Office suite and pharmacy applications.

Nice To Haves

• Coding Course Certification is highly preferred.

Responsibilities

• Review patient files for completeness and accuracy, identify and audit claims, ensure revenue opportunities are included, and submit primary and secondary billing to payers through paper bills and clearinghouse submissions.
• Communicate order-intake status with franchise partners and other VCI departments.
• Document case activity, communications, and correspondence in the computer system, maintaining complete and accurate account records and scheduling follow-ups at required intervals.
• Investigate and verify benefits for pharmacy and medical third-party claims.
• Obtain prior authorizations by initiating requests, providing additional information, tracking progress, expediting payer responses, and keeping customers informed.
• Track, report, and escalate authorization or other service issues that delay service, to support patient access and prevent interruptions in therapy.
• Explain patients’ financial obligations and therapy costs before service begins.
• Contribute medical billing expertise to the development of 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

• 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 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