Intake Specialist - Revenue Cycle Management

Vital Care Infusion Services•Phoenix, AZ

18h•Onsite

About The Position

Vital Care Infusion Services is seeking an Intake Specialist for its Revenue Cycle Management team. The role processes referrals with a focus on accuracy, timeliness, and adherence to established processes to reduce denials, days sales outstanding (DSO), and bad debt. The specialist identifies additional revenue opportunities and supports improved collection rates while working within standard or accepted practice limits. Duties also include credentialing, re-credentialing, and contract applications. The position reviews patient files, verifies benefits, obtains prior authorizations, and submits primary and secondary claims to payers. It involves communicating with franchise partners, internal departments, patients, caregivers, and payer representatives; documenting case activity and follow-ups; and escalating service issues that could delay patient access or interrupt therapy. The specialist also contributes billing expertise to training and process improvements and assists with online adjudication of collection issues and nurse billing as assigned. This is a full-time, on-site position in Meridian. The salary range is $18.92–$23.46.

Requirements

High school diploma or equivalent, plus additional 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, comprehension, 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 using the MS Office suite and pharmacy applications.

Nice To Haves

Coding Course Certification.

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 with franchise partners and other Vital Care departments about order intake status.
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.
Initiate prior authorization requests, follow up with required information, track progress, expedite payer responses, and keep customers informed.
Track, report, and escalate authorization or other service issues that could delay service, patient access, or therapy.
Explain patients’ financial obligations and therapy costs before service begins.
Contribute medical billing expertise to the design of training and knowledge-transfer programs, materials, policies, and procedures.
Assist with online adjudication of collection issues and nurse billing as assigned.
Perform other related duties as assigned.