Process accurate and timely home infusion medical, pharmacy, and third-party claims, including primary and secondary payer submissions, and resolve rejected claims. Maintain billing records and case documentation, support revenue cycle improvements, and contribute billing expertise to training and process materials.
Process and submit home infusion medical, pharmacy, and third-party claims accurately and on time, including resolving rejected claims and ensuring all revenue opportunities are billed to primary and secondary payers. Maintain billing ticket statuses and complete account documentation in CareTend, while contributing billing expertise to training materials, policies, and procedures.
The Patient Collection Specialist is responsible for managing outstanding patient accounts receivable and ensuring accurate financial communication with patients and franchisees. They will process payments, set up payment arrangements, and assist patients with financial hardship or assistance programs.
Manage reimbursement activities for multiple infusion and specialty pharmacy units, including referral intake, billing, and collections. Lead and mentor a team of up to 60 staff members while ensuring regulatory compliance and meeting financial KPIs.
The Implementation Manager acts as a liaison between franchise partners and Vital Care to ensure onboarding tasks meet regulatory and operational standards. They provide consultative support for facility design, sterile compounding training, and project management to ensure successful franchise launches.
The Implementation Manager acts as a liaison between franchise partners and Vital Care to ensure onboarding tasks meet regulatory and operational standards. They provide consultative support for facility design, sterile compounding training, and ongoing project management for new infusion pharmacy locations.
The specialist will manage home infusion claims by reviewing outstanding balances, identifying denial trends, and submitting appeals to ensure timely revenue collection. They are also responsible for documenting case activity and communicating financial obligations to patients.
The Collections Specialist is responsible for managing home infusion claims, identifying denial trends, and performing corrective actions to ensure timely revenue collection. They also communicate financial obligations to patients and maintain accurate documentation of all account activities.
Manage multiple teams responsible for patient referrals, insurance authorizations, billing, and collections within infusion pharmacy business units. Cultivate a high-performing team environment while ensuring regulatory compliance and meeting financial performance metrics.
Manage reimbursement activities for multiple infusion and specialty pharmacy business units, including referral intake, authorizations, billing, and collections. Lead and mentor a team of up to 60 staff members while ensuring regulatory compliance and meeting financial performance metrics.
Manage reimbursement activities for multiple infusion and specialty pharmacy business units, including referral intake, billing, and collections. Lead and mentor a team of up to 60 staff members while ensuring regulatory compliance and meeting financial performance metrics.
Process patient referrals by verifying benefits, obtaining prior authorizations, and ensuring accurate billing to reduce denial rates. Maintain detailed documentation of case activity and communicate effectively with franchise partners and payers to resolve outstanding claims.
Process medical claims for home infusion services while ensuring accuracy and timeliness to reduce denial rates. Maintain detailed documentation of case activity and communications within the CareTend system.
Process Home Infusion medical and pharmacy claims accurately to reduce denial rates and bad debt. Manage the revenue cycle by resolving rejected claims and documenting all account activity in CareTend.
