Billing Specialist - WFH
About the Company
Vital Care is a pharmacy franchise business serving patients with chronic and acute conditions through locally owned infusion pharmacies and clinics across the United States. Since 1986, the company has focused on improving the lives of patients and healthcare professionals by supporting franchise owners throughout business launch, growth, and operations. Vital Care has more than 100 franchised infusion pharmacies and clinics across 35 states, with a focus on underserved and secondary markets. The company has also been recognized as a “Best Place to Work Modern Healthcare.”
About the Role
Vital Care Infusion Services is seeking a medical billing professional to process home infusion claims accurately and efficiently. This role focuses on timely claim submission, resolving rejected claims, maintaining billing documentation, and supporting revenue cycle management (RCM) processes while following established compliance practices. The successful candidate will help reduce claim denials, days sales outstanding (DSO), and bad debt while ensuring that billing and collection activities are handled accurately. This is a full-time, 100% remote position requiring strong organization, attention to detail, and the ability to work independently while meeting production and collection targets.
Key Responsibilities
Create and submit medical, pharmacy, and third-party vendor claims accurately and on time. Ensure all eligible revenue opportunities are captured and submit billing to primary and secondary payers. Resolve rejected electronic claims to ensure successful resubmission and help prevent future rejections. Maintain ready-to-bill delivery tickets and assign appropriate statuses to tickets that cannot be billed, supporting communication between RCM and franchise teams. Document case activity, communications, and correspondence in CareTend to maintain complete and accurate account records. Contribute medical billing expertise to the development of training programs, knowledge-transfer materials, policies, and procedures. Help improve the efficiency and effectiveness of the RCM team. Perform other related duties as assigned.
Required Qualifications
Two to five years of home infusion billing and/or collections experience. High school diploma and additional specialized training in intake, pharmacy or medical billing, and/or collections. Strong English communication skills, including listening, speaking, comprehension, and writing. Understanding of billing and collection processes, systems, and techniques across different payer types. Ability to review documentation, identify gaps and problems, determine lasting solutions, make effective decisions, and take corrective action. Strong organizational skills and the ability to maintain clear, complete records of activities, cases, and related documentation. Proficiency with Microsoft Office applications and pharmacy-related software. Ability to work from a designated workspace outside the dedicated RCM location. A disciplined work ethic and the ability to work remotely with minimal direct supervision while meeting production and collection targets.
Preferred Qualifications
Experience working in an infusion suite setting. Previous experience in a remote work environment. Strong attention to detail, with experience in post-billing and post-payment investigations. Physical Requirements Ability to sit for prolonged periods, often for most of the workday. Frequent keyboard use for typing and data entry. Ability to reach for files, documents, and office supplies as needed. Fine motor skills for typing, using a mouse, and handling paperwork. Sufficient visual acuity to read documents, computer screens, and detailed information. Salary and Benefits The salary range for this position is $18.92–$23.46 per hour. Benefits include: Medical, dental, and vision insurance. Flexible spending accounts and health savings accounts. Paid time off, personal days, and company-paid holidays. Paid parental leave. Volunteer days off. Company-sponsored basic life insurance and long-term disability insurance. Optional employee-paid life, accident, critical illness, and short-term disability insurance. 401(k) matching. Tuition reimbursement. Employee assistance programs covering mental health, financial, and legal support. Rewards programs offered through the medical carrier. Professional development and growth opportunities. Employee referral program. Location and Work Arrangement This is a full-time, 100% remote position. Vital Care is a U.S.-based employer and hires only individuals authorized to work in the United States who perform their work from within the country. Applicants and employees must accurately disclose their work location and work authorization status during the hiring process. Vital Care participates in E-Verify. Equal Employment Opportunity Vital Care Infusion Services is an equal opportunity employer that values diversity. The company does not discriminate based on color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veteran status, or any other characteristic protected by applicable federal, state, or local law. Material misrepresentation or omission regarding identity, location, work authorization, qualifications, or other employment-related information may result in withdrawal of a job offer, termination of employment, or other remedies available under applicable law.