Intake Specialist

Vital Care Infusion Services•Tucson, AZ

1d•Onsite

About The Position

Vital Care Infusion Services is seeking an Intake Specialist to process referrals accurately and promptly while following established processes to reduce denials, days sales outstanding, and bad debt. The position also focuses on identifying additional revenue opportunities, improving collections, and handling credentialing, re-credentialing, and contract applications. The role is based onsite in Meridian, Mississippi.

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 communicate with 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 the 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 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 VCI 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, follow up on requests, provide additional information, track progress, expedite payer responses, and keep customers informed.
Track, report, and escalate authorization-related service issues and other issues that could delay service, helping ensure patient access and avoid interruptions to therapy.
Explain patients’ financial obligations so they understand therapy costs before service begins.
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 other related duties as assigned.