Infusion Revenue Cycle Lead

Vital Care Infusion Services; Pittsburgh (Allegheny County); On-site; USD 49,000 - 61,000; Full time

Benefits offered by this job

Medical, dental, vision

401(k) with match

Paid time off and holidays

Paid parental leave

Volunteer days

Life and disability insurance

Tuition reimbursement

Employee assistance program

Professional development

Employee referral program

Job summary

Vital Care Infusion Services in Pittsburgh, PA, is seeking a Reimbursement Supervisor to plan for and manage Specialist roles, overseeing intake, billing, and collections while delivering outstanding customer service to franchise partners, payers, and patients.

This role leads the Reimbursement team, optimizes processes, enforces quality standards, and partners with payor programs to resolve claims, while mentoring staff and supporting company growth.

Qualifications

• Bachelor’s degree in business or equivalent work experience preferred.
• 2–3 years of infusion setting experience required.
• Minimum 3 years of supervisory experience required.
• Knowledge of Vital Care systems, including CareTend.
• Knowledge of payer compliance.
• Proficiency with MS Office, especially Excel.
• Strong analytical and data-driven decision making.

Responsibilities

• Supervise team in processing new patient referrals, insurance benefits investigation and verifications, prior authorizations, billing, and collections.
• Manage Reimbursement Specialist schedules to reallocate resources to meet KPIs. Track workload distribution and conduct ongoing needs assessments to identify staffing opportunities.
• Serve as an escalation agent for the team to resolve any franchise partner or patient complaints.
• Implement, communicate, and maintain operating procedures covering functional areas, quality, compliance, and related performance expectations.
• Monitor team results to evaluate compliance with quality and productivity expectations and identify improvement opportunities.
• Collaborate with Payor/Benefit support programs to resolve missing claims reports and handle member escalations.
• Implement customer service standards of excellence and ensure compliance. Cultivate an environment of customer service orientation through training and mentoring staff in customer service and collection techniques.
• May be responsible for reconciling reimbursement checks against claims with some programs.
• Monitor team activities and work with Reimbursement Specialist to provide guidance, training, and improved skills in patient insurance billing, collections, benefit investigation, and insurance authorizations.
• Audit transactions processed by the team to ensure accounts are accurate and appropriately escalated in compliance with policies and procedures and identify training opportunities.

Skills

Communication

Data analysis

Leadership

Training & coaching

Excel proficiency

Customer service

Cross-functional collaboration

Problem solving

Education

Bachelor’s degree in business or equivalent

2–3 years infusion experience

Minimum 3 years supervisor experience

Knowledge of payer compliance

Tools

CareTend

RCM Portal

Job description

Vital Care Infusion Services in Pittsburgh, PA, is seeking a Reimbursement Supervisor to plan for and manage Specialist roles, overseeing intake, billing, and collections while delivering outstanding customer service to franchise partners, payers, and patients.

This role leads the Reimbursement team, optimizes processes, enforces quality standards, and partners with payor programs to resolve claims, while mentoring staff and supporting company growth.