Intake Specialist - Revenue Cycle Management

Vital Care Infusion Services • Phoenix, AZ

3h • $19 - $23 • Onsite

About The Position

Vital Care is seeking an Intake Specialist to join their Revenue Cycle Management team. This role focuses on processing referrals accurately and efficiently to minimize denials, reduce days sales outstanding (DSO), and decrease bad debt. The specialist will identify revenue opportunities, improve collection rates, and handle credentialing/re-credentialing and contract applications. This is an onsite position in Meridian, MS.

Requirements

• Excellent communication skills: listening, speaking, understanding, and writing English.
• Proven understanding of processes, systems, and techniques for successful billing and collection with all payer types.
• Proven ability to identify gaps and problems from documentation review, determine lasting solutions, make effective decisions, and take necessary corrective action.
• Strong organizational skills with the ability to track and maintain clear, complete records of activities, cases, and related documentation.
• Proven knowledge and skill in utilizing MS Office suite of software and pharmacy applications.
• High school diploma or equivalent.
• Additional specialized training in intake, pharmacy/medical billing, and/or collections.
• Two years’ Intake, Medical Billing, and/or Collections experience required.
• Two years of home infusion therapy is required.
• Must be authorized to work in the United States and perform work from within the United States.

Nice To Haves

• Coding Course Certification is highly preferred.

Responsibilities

• Review patient files for completeness and accuracy.
• Identify and audit claims to ensure all revenue opportunities are included.
• Complete and submit primary and secondary billing to payers for reimbursement via paper bills and clearinghouse submittals.
• Communicate effectively with franchise partners and other VCI departments regarding the status of order intake.
• Document case activity, communications, and correspondence in the computer system.
• Schedule follow-ups in required intervals.
• Investigate and verify benefits for pharmacy and medical third-party claims.
• Obtain prior authorizations, initiate requests, follow up, and track progress.
• Maintain contact with customers to keep them informed about prior authorization status.
• Track, report, and escalate service issues arising from requests for authorizations or other issues that delay service.
• Communicate financial obligation information with patients.
• Contribute medical billing expertise to training and knowledge transfer programs.
• Assist with processing 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 accounts
• Health savings accounts
• Paid time off
• Personal days
• Company-paid holidays
• Paid Paternal Leave
• Volunteerism Days off
• Company-sponsored basic life insurance
• Long-term disability insurance
• Employee-paid voluntary life insurance
• Employee-paid accident insurance
• Employee-paid critical illness insurance
• Employee-paid short-term disability insurance
• 401(k) matching
• Tuition reimbursement
• Employee assistance programs (mental health, financial, and legal)
• Rewards programs offered by medical carrier
• Professional development and growth opportunities
• Employee Referral Program

What This Job Offers

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