Intake Specialist - Meridian, MS
About The Position
Vital Care is seeking an Intake Specialist to join their team in Meridian, MS. This role is crucial for processing referrals accurately and efficiently to minimize claim denials, reduce days sales outstanding (DSO), and decrease bad debt. The specialist will also identify revenue opportunities and improve collection rates. The position involves credentialing/re-credentialing and contract applications. Vital Care is a leading pharmacy franchise business with a strong focus on improving patient lives through locally-owned franchise locations across the United States, specializing in infusion services.
Requirements
- Excellent communication skills: listening, speaking, understanding, and writing English.
- Proven understanding of processes, systems, and techniques to ensure successful billing and collection working with all payer types.
- Proven ability to identify gaps and problems from a 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 and 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.
Nice To Haves
- Coding Course Certification is highly preferred.
Responsibilities
- Review patient files for completeness and accuracy.
- Identify and audit claims.
- 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 to provide additional required information, track progress, expedite responses from insurance carriers and other payers, and maintain contact with customers.
- 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 the design of training and knowledge transfer programs, materials, policies, and procedures.
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
