Overview
A pharmacy franchise organization specializing in infusion services for patients with chronic and acute conditions is seeking an Intake Specialist for Revenue Cycle Management. Established in 1986, the organization supports over 100 franchised infusion pharmacies and clinics across 35 states, focusing on underserved and secondary markets.
Responsibilities
- Review patient files for completeness and accuracy, audit claims, and ensure all revenue opportunities are captured
- Submit primary and secondary billing to payers via paper bills and clearinghouse submissions
- Communicate with franchise partners and internal departments regarding order intake status
- Document case activity and communications to maintain accurate account records and schedule follow-ups
- Verify benefits for pharmacy and medical third-party claims
- Obtain and track prior authorizations, expedite responses, and keep customers informed
- Report and escalate service issues to prevent therapy interruptions
- Explain financial obligations to patients before starting service
- Support the design of training, policies, and procedures to improve revenue cycle management efficiency
- Assist with online adjudication of collection issues and nurse billing as assigned
- Perform other related duties as assigned
Requirements
- Excellent English communication skills for interacting with patients, caregivers, and payer representatives
- Knowledge of billing and collection processes with all payer types
- Ability to identify documentation gaps, make decisions, and implement corrective actions
- Strong organizational skills to maintain clear, complete records
- Proficiency with MS Office and pharmacy applications
- High school diploma or equivalent with specialized training in intake, pharmacy/medical billing, or collections
- Minimum two years of experience in Intake, Medical Billing, and/or Collections
- Minimum two years of home infusion therapy experience
- Coding Course Certification is highly preferred
Compensation & Benefits
- Hourly salary range: $18.92 to $23.46
- Comprehensive medical, dental, and vision plans, including flexible spending and health savings accounts
- Paid time off, personal days, company-paid holidays, and paid parental leave
- Volunteerism days off
- Company-sponsored life and long-term disability insurance with options for voluntary coverage
- 401(k) matching and tuition reimbursement
- Employee assistance programs covering mental health, financial, and legal support
- Rewards programs through the medical carrier
- Professional development and growth opportunities
- Employee referral program
Equal Opportunity
The employer is an equal opportunity organization committed to diversity and inclusion. All qualified applicants will receive consideration without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin.
Location
United States (35 states coverage through franchise locations)