Intake Specialist - Revenue Cycle Management
location_on4001, Roseland Avenue, Roseland Neighborhood, Dallas, Dallas County, Texas, 75204, United States
Job Description
About Vital Care
Recognized as a “Best Place to Work Modern Healthcare,” Vital Care is committed to creating an inclusive, growth-focused environment where every voice matters. As the premier pharmacy franchise business, we serve 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 operate 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.
About the Role
As an Intake Specialist in Revenue Cycle Management, you will play a critical role in processing referrals with a focus on accuracy, timeliness, and adherence to processes. Your work will directly contribute to reducing denial rates, Days Sales Outstanding (DSO), and bad debt. You will recognize additional revenue opportunities and improve collection rates while working within standard or accepted practice limits, including handling credentialing, re-credentialing, and contract applications.
In this role, you will review patient files for completeness and accuracy, audit claims, and ensure all revenue opportunities are included. You will complete and submit primary and secondary billing to payers for reimbursement via paper bills and clearinghouse submittals. Additionally, you will investigate and verify benefits for pharmacy and medical third-party claims, obtain prior authorizations, and track progress to expedite responses from insurance carriers.
Effective communication is key; you will interact with franchise partners, other VCI departments, patients, caregivers, and payer representatives. You will document case activity, communications, and correspondence in the computer system to ensure completeness and accuracy of account activity. You will also 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.
Why Join Us
We offer a comprehensive benefits package designed to support your well-being and professional growth. This includes comprehensive medical, dental, and vision plans, plus flexible spending and health savings accounts. We provide paid time off, personal days, company-paid holidays, and paid paternal leave, along with 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. We also offer 401(k) matching, tuition reimbursement, and employee assistance programs covering mental health, financial, and legal needs. Additional perks include rewards programs offered by our medical carrier, professional development and growth opportunities, and an employee referral program.
Our Commitment to Diversity
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 Infusion Services participates in E-Verify.
Work location
Work model: Remote
4001, Roseland Avenue, Roseland Neighborhood, Dallas, Dallas County, Texas, 75204, United States
Dallas, Texas
Key Responsibilities
- check_circleReview patient files for completeness and accuracy
- check_circleAudit claims and submit primary and secondary billing
- check_circleInvestigate and verify benefits for pharmacy and medical claims
- check_circleObtain prior authorizations and track progress with payers
- check_circleDocument case activity and resolve outstanding claim issues
- check_circleContribute billing expertise to training and policy design
- check_circleCommunicate financial obligations and therapy costs to patients
Requirements
- verifiedHigh school diploma or equivalent
- verifiedSpecialized training in intake, pharmacy/medical billing, and/or collections
- verifiedTwo years’ Intake, Medical Billing, and/or Collections experience
- verifiedTwo years of home infusion therapy experience
- verifiedCoding Course Certification (highly preferred)
- verifiedProven knowledge and skill in utilizing MS Office suite of software and pharmacy applications
Benefits & Perks
Skills, education and keywords
Skills: ms office suite, pharmacy applications, medical billing, collections, intake, coding course certification.
Education: High school diploma or equivalent required.