Intake Specialist

Talentify; Monroeville (Allegheny County); On-site; USD 26,000 - 32,000; Full time

Benefits offered by this job

Medical, dental, and vision benefits

PTO & holidays

Paid paternal leave

Volunteer days off

401(k) matching

Tuition reimbursement

Employee assistance programs

Job summary

Vital Care Infusion Services is seeking a full-time on-site Billing/Intake Specialist in Meridian, MS to process referrals, review patient files, and submit primary and secondary billing to payers to maximize revenue and minimize denials. Requires 2+ years in medical billing/collections and home infusion experience.

You will coordinate with franchise partners and various departments, verify benefits, obtain authorizations, and communicate costs clearly to patients while maintaining accurate

Qualifications

• High school diploma or equivalent and additional specialized training in intake, pharmacy/medical billing, and/or collections.
• Two years of 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.
• 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.
• Perform other related duties as assigned.

Skills

Excellent communication

Billing and collection processes

Attention to detail

Organizational skills

Education

High school diploma or equivalent

Two years Intake, Medical Billing, and/or Collections experience

Two years of home infusion therapy

Coding Course Certification (preferred)

Tools

MS Office

Pharmacy applications

Job description

Recognized as a "Best Place to Work Modern Healthcare" - Join a team where people come first. At Vital Care, we are committed to creating an inclusive, growth-focused environment where every voice matters.
Proven knowledge and skill in utilizing MS Office suite of software and pharmacy applications. Vital Care is the premier pharmacy franchise business with franchises serving a wide range of patients, including those with chronic and acute conditions. Since 1986, our passion has been improving the lives of patients and healthcare professionals through locally-owned franchise locations across the United States. We have over 100 franchised Infusion pharmacies and clinics in 35 states, focusing on the underserved and secondary markets. We know infusion services, and we guide owners along the path of launch, growth, and successful business operations.

What we offer:

• Comprehensive medical, dental, and vision plans, plus flexible spending, and health savings accounts.
• Paid time off, personal days, and company-paid holidays.
• Paid Paternal Leave.
• Volunteerism Days off.
• Income protection programs include company-sponsored basic life insurance and long-term disability insurance, as well as employee-paid voluntary life, accident, critical illness, and short-term disability insurance.
• 401(k) matching and tuition reimbursement.
• Employee assistance programs include mental health, financial and legal.
• Rewards programs offered by our medical carrier.
• Professional development and growth opportunities.
• Employee Referral Program.

Job Summary

Perform duties to process referrals, focusing on accuracy, timeliness, and adherence to processes to reduce denial rate, DSO, and bad debt. Recognize additional revenue opportunities and improve collection rates while working within standard or accepted practice limits. Credentialing/re-credentialing and Contract applications.

This position is onsite in Meridian, MS.

Duties/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.

Required Skills/Abilities

• Excellent communication skills: listening, speaking, understanding, and writing English while influencing patients, caregivers, and payer representatives, answering questions, and advancing reimbursement and collection efforts.
• Proven understanding of processes, systems, and techniques to ensure successful billing and collection working with all payer types.
• Proven ability to identify gaps and problems from a documentation review, determine lasting solutions, make effective decisions, and take necessary corrective action.
• Strong organizational skills with the ability to track and maintain clear, complete records of activities, cases, and related documentation.
• Proven knowledge and skill in utilizing MS Office suite of software and pharmacy applications.

Education and Skills

• 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.

Physical Requirements

• Sitting: Prolonged periods of sitting are typical, often for the majority of the workday.
• Keyboarding: Frequent use of a keyboard for typing and data entry.
• Reaching: Occasionally reaching for items such as files, documents, or office supplies.
• Fine Motor Skills: Precise movements of the fingers and hands for tasks like typing, using a mouse, and handling paperwork
• Visual Acuity: Good vision for reading documents, computer screens, and other detailed work.

Vital Care Infusion Services is an equal-opportunity employer and values diversity at our company. We do not discriminate on the basis of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status, or any other basis protected by applicable federal, state, or local law.

Vital Care is a U.S.-based employer and hires only individuals who are authorized to work in the United States and who perform their work from within the United States. Applicants and employees must accurately disclose their current work location and work authorization status during the application and hiring process. Any material misrepresentation or omission regarding identity, location, work authorization, qualifications, or other employment-related information may result in withdrawal of a job offer, immediate termination of employment, and pursuit of any remedies available under applicable law.

Vital Care Infusion Services participates in E-Verify.

This position is full-time and on-site in Meridian. The salary range for this position is $18.92 - $23.46.