Intake Specialist - Revenue Cycle Management

Vital Care Infusion Services•Phoenix, AZ

2d•$19 - $23•Onsite

About The Position

The Intake Specialist performs duties to process referrals with an emphasis on accuracy, timeliness, and adherence to processes that reduce denial rates, days sales outstanding (DSO), and bad debt. The role identifies additional revenue opportunities and works to improve collection rates within standard or accepted practice limits. Responsibilities also include credentialing and re-credentialing and contract applications. Vital Care Infusion Services 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. This position is full-time and on-site in Meridian.

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 listening, speaking, comprehension, and writing skills, including the ability to influence patients, caregivers, and payer representatives, answer questions, 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 the ability to track and maintain clear, complete activity, case, and related documentation records.
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 complete and submit primary and secondary billing to payers for reimbursement through paper bills and clearinghouse submissions.
Communicate with franchise partners and other VCI departments about order intake status.
Document case activity, communications, and correspondence in the computer system, maintaining complete and accurate account activity and records of actions taken to resolve outstanding claims issues; 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 to provide additional information, tracking progress, expediting responses from insurance carriers and other payers, and keeping customers informed.
Track, report, and escalate service issues related to authorization requests or other issues that delay service, to ensure patient access and avoid interruptions to therapy.
Explain financial obligations to patients so they understand therapy costs before starting service.
Contribute medical billing expertise to the design of training and knowledge-transfer programs, materials, policies, and procedures to improve the RCM team's efficiency and effectiveness.
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 and health savings accounts.
Paid time off, personal days, and company-paid holidays.
Paid parental leave.
Volunteerism days off.
Company-sponsored basic life insurance and long-term disability insurance.
Employee-paid voluntary life, accident, critical illness, and short-term disability insurance.
401(k) matching.
Tuition reimbursement.
Employee assistance programs for mental health, financial, and legal needs.
Rewards programs offered by the medical carrier.
Professional development and growth opportunities.
Employee referral program.