Intake & Billing Specialist - Infusion Healthcare

Vital Care Infusion Services; Dallas (TX); On-site; USD 26,000 - 32,000; Full time

Benefits offered by this job

Medical, dental, vision plans

Paid time off & holidays

Paternal leave

Volunteerism days

Insurance: life & disability options

401(k) matching & tuition assistance

Employee assistance programs

Rewards programs with medical carrier

Professional development opportunities

Employee referral program

Job summary

Vital Care Infusion Services seeks a full-time on-site Billing/Intake Specialist in Meridian, MS. You will process referrals and claims, work to reduce denials and improve cash flow, and identify revenue opportunities while adhering to established processes.

You will credential/credentialing, manage contract applications, and communicate with franchise partners and payers. This role requires two years of intake/billing experience and infusion therapy knowledge.

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.

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 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.

Skills

MS Office

pharmacy applications

Education

High school diploma or equivalent

Two years’ Intake Medical Billing/Collections experience

Two years of home infusion therapy

Coding Course Certification (preferred)

Job description

Vital Care Infusion Services seeks a full-time on-site Billing/Intake Specialist in Meridian, MS. You will process referrals and claims, work to reduce denials and improve cash flow, and identify revenue opportunities while adhering to established processes.

You will credential/credentialing, manage contract applications, and communicate with franchise partners and payers. This role requires two years of intake/billing experience and infusion therapy knowledge.