Intake & Billing Specialist - Healthcare Infusion

Vital Care Infusion Services; Pennsylvania; Sur place; USD 26 000 - 32 000; Plein temps

Avantages offerts par ce poste

Medical, dental, and vision plans

401(k) matching

Paid time off and holidays

Tuition reimbursement

Employee assistance programs

Volunteerism days

Résumé du poste

Vital Care Infusion Services is seeking a Billing Specialist to process referrals, review patient files, and submit primary and secondary billing to payers. You will identify revenue opportunities, reduce denial rates, and work with franchise partners to ensure timely reimbursement.

The role emphasizes accuracy, timely processing, and adherence to established billing procedures. The position requires two years of intake/medical billing experience and home infusion therapy familiarity, with

Qualifications

• 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.
• Coding Course Certification is highly preferred.

Responsabilités

• 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 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 to ensure completeness and accuracy of account activity and actions taken to resolve outstanding claims issues. 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 the additional required information, track progress, expedite responses from insurance carriers and other payers, and maintain contact with customers to keep them continuously informed.
• Track, report, and elevate service issues arising from requests for authorizations or other issues that delay service to ensure patient access and to avoid delays that may interrupt therapy.
• Communicate financial obligation information with patients so that they clearly understand all 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 efficiency and effectiveness of the RCM team. Assist with processing online adjudication of collection issues and nurse billing as assigned.
• Perform other related duties as assigned.

Connaissances

Communication

Billing knowledge

Pharmacy billing

Formation

High school diploma

Two years intake/medical billing experience

Home infusion therapy experience

Coding course certification preferred

Outils

MS Office

Pharmacy software

Description du poste

Vital Care Infusion Services is seeking a Billing Specialist to process referrals, review patient files, and submit primary and secondary billing to payers. You will identify revenue opportunities, reduce denial rates, and work with franchise partners to ensure timely reimbursement.

The role emphasizes accuracy, timely processing, and adherence to established billing procedures. The position requires two years of intake/medical billing experience and home infusion therapy familiarity, with