Onsite Intake & Billing Specialist - Meridian

Remote Jobs; 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

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