Intake Specialist - Revenue Cycle Management

Vital Care Infusion Services•Tucson, AZ

3d•$19 - $23•Onsite

About The Position

Vital Care Infusion Services is hiring a full-time, on-site Intake Specialist in Meridian for its Revenue Cycle Management team. The role processes referrals with a focus on accuracy, timeliness, and following established processes to reduce denials, days sales outstanding (DSO), and bad debt. The specialist identifies additional revenue opportunities and works to improve collection rates within standard or accepted practice limits. The position also includes credentialing and re-credentialing, as well as contract applications.

Requirements

High school diploma or equivalent, plus additional specialized training in intake, pharmacy or medical billing, and/or collections.
At least two years of intake, medical billing, and/or collections experience.
At least 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.
Knowledge and skill in using Microsoft Office software 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 for reimbursement through paper bills and clearinghouse submissions.
Communicate with franchise partners and other Vital Care Infusion Services 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.
Obtain prior authorizations by initiating requests, following up with required information, tracking progress, expediting payer responses, and keeping customers informed.
Track, report, and escalate authorization-related service issues and other issues that delay service, supporting patient access and avoiding interruptions to therapy.
Explain patients’ financial obligations so they understand therapy costs before beginning service.
Contribute medical billing expertise to training and knowledge-transfer programs, materials, policies, and procedures to improve the RCM team’s efficiency and effectiveness.
Assist with online adjudication of collection issues and nurse billing as assigned.
Perform other related duties as assigned.