Revenue Integrity Specialist

About Company:

Join Druid City Infusion - part of the Vital Care Infusion Services network!

We're a rapidly growing home and alternate-site infusion therapy provider delivering compassionate, high-quality care for acute and chronic conditions right in patients' homes or local clinics.

We support infusion therapy programs across multiple states , including Colorado, Georgia, Alabama, Arkansas, Mississippi, New Mexico, South Carolina, Louisiana, Tennessee and beyond through the broader Vital Care network.

At Druid City Infusion, you'll help bring advanced therapies like IVIG, neurology, rheumatology, pulmonary care, and more to patients in communities that need them - with strong clinical support and opportunities for professional growth.

Make an impact where it matters most - grow your career with a team delivering care across the nation!

About the Role:

The RIT Billing/Collections Specialist plays a critical role in managing the financial operations related to patient billing and collections within a healthcare setting. This position is responsible for ensuring accurate and timely billing processes, resolving billing discrepancies, and facilitating effective communication between patients, insurance companies, and healthcare providers. The specialist will work diligently to optimize revenue cycle management by monitoring accounts receivable and implementing collection strategies that comply with healthcare regulations. By maintaining detailed records and providing exceptional customer service, the role supports the financial health of the organization while fostering positive patient experiences. Ultimately, this position contributes to the seamless financial workflow that enables the delivery of quality healthcare services.

Minimum Qualifications:

• High school diploma or equivalent; associate degree or higher preferred.
• Minimum of 2 years experience in medical billing, collections, or related healthcare financial services.
• Familiarity with medical billing software and electronic health record (EHR) systems.
• Strong understanding of insurance claim processes, billing codes, and healthcare regulations.
• Excellent communication and organizational skills.

Preferred Qualifications:

• Certification in medical billing or coding (e.g., CPC, CCA) is highly desirable.
• Experience working within a hospital or clinical environment.
• Knowledge of HIPAA compliance and patient privacy regulations.
• Proficiency with advanced billing software and data analysis tools.
• Demonstrated ability to handle complex billing issues and negotiate payment arrangements.

Responsibilities:

• Prepare and submit accurate patient bills and insurance claims in accordance with healthcare policies and regulations.
• Review and reconcile billing statements to identify and resolve discrepancies or errors promptly.
• Communicate with patients, insurance providers, and internal departments to address billing inquiries and facilitate payment collections.
• Monitor accounts receivable and implement follow-up procedures to ensure timely payment and reduce outstanding balances.
• Maintain detailed documentation of billing activities, payment plans, and collection efforts to support audit and compliance requirements.

Skills:

The required skills enable the specialist to accurately process and manage billing information, ensuring compliance with healthcare standards and timely revenue collection. Strong communication skills are essential for effectively interacting with patients and insurance representatives to resolve billing questions and disputes. Organizational skills support the management of multiple accounts and documentation, facilitating efficient workflow and audit readiness. Preferred skills such as certification and advanced software proficiency enhance the specialist's ability to navigate complex billing scenarios and optimize financial outcomes. Together, these skills ensure the specialist can maintain accuracy, compliance, and professionalism in a fast-paced healthcare financial environment.

Commitment to Diversity and Inclusivity

At Druid City Vital Care, we believe that diversity and inclusivity are essential to delivering exceptional care and fostering innovation. We are committed to creating a workplace where every individual is respected, valued, and empowered-regardless of race, ethnicity, gender identity, age, ability, or background.

Our Approach Includes

• Inclusive Hiring Practices: Ensuring equal opportunities for all candidates.
• Ongoing Education: Providing training to promote cultural competence and eliminate bias.
• Collaborative Environment: Encouraging diverse perspectives to strengthen patient care and organizational success.

By embracing diversity and inclusion, we aim to reflect the communities we serve and build a culture of belonging for our employees and patients alike.