Intake Specialist - Revenue Cycle Management

Vital Care Infusion Services•Phoenix, AZ

20d•Onsite

About The Position

Vital Care Infusion Services is seeking an Intake Specialist for its Revenue Cycle Management team. The role processes referrals with an emphasis on accuracy, timeliness, and adherence to procedures to reduce denials, days sales outstanding, and bad debt. The specialist identifies additional revenue opportunities, improves collection rates within standard practice limits, and handles credentialing, re-credentialing, and contract applications. This is a full-time, onsite position in Meridian, Mississippi, with a stated salary range of $18.92–$23.46. Vital Care is a U.S.-based pharmacy franchise business serving patients with chronic and acute conditions through more than 100 franchised infusion pharmacies and clinics in 35 states. The company describes its workplace as inclusive and growth-focused and states that it is an equal-opportunity employer.

Requirements

High school diploma or equivalent, plus specialized training in intake, pharmacy or medical billing, and/or collections.
Two years of experience in intake, medical billing, and/or collections.
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 track and maintain clear, complete records of activities, cases, and related documentation.
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 all 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 departments regarding order-intake status.
Document case activity, communications, correspondence, account activity, and actions taken to resolve outstanding claims issues in the computer system.
Schedule follow-ups at required intervals.
Investigate and verify benefits for pharmacy and medical third-party claims.
Obtain prior authorizations by initiating requests, providing additional 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, helping ensure patient access and avoid interruptions to therapy.
Explain patients’ financial obligations so they understand therapy costs before starting service.
Contribute medical billing expertise to 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 credentialing and re-credentialing and contract applications.
Perform other related duties as assigned.