Collections Associate

Collections Associate

Recognized as a "Best Place to Work Modern Healthcare" – Join a team where people come first. At Vital Care, we are committed to creating an inclusive, growth-focused environment where every voice matters. Vital Care is the premier pharmacy franchise business with franchises serving 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 have 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.

What we offer:

• Comprehensive medical, dental, and vision plans, plus flexible spending, and health savings accounts.
• Paid time off, personal days, and company-paid holidays.
• Paid Paternal Leave.
• 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.
• 401(k) matching and tuition reimbursement.
• Employee assistance programs include mental health, financial and legal.
• Rewards programs offered by our medical carrier.
• Professional development and growth opportunities.
• Employee Referral Program.

Job Summary

The Collections Associate is responsible for supporting the timely collection and resolution of outstanding insurance balances to achieve organizational revenue cycle goals. This position performs account follow-up activities, front-end claim rejection resolution, supplemental payer claims billing, short-payment analysis, and review of Tier 4, Tier 5, and Tier 6 accounts. The Collections Associate plays a critical role in maintaining healthy accounts receivable, improving cash flow, reducing aging balances, and ensuring a positive financial experience for patients and payer partners. This position is initially office-based. Employees who consistently meet productivity, quality, attendance, and performance expectations may be considered for a remote work opportunity after 120 days.

Duties/Responsibilities

• Review and work Tier 4, Tier 5, and Tier 6 account inventories.
• Manage assigned accounts receivable inventory and perform timely follow-up on outstanding insurance balances.
• Contact insurance companies and other responsible parties to resolve unpaid, underpaid, or denied claims.
• Research and resolve claim rejections, account discrepancies, denials, underpayments, payment variances, and billing issues.
• Review payer contracts, remittance advice, EOBs, and claim histories
• Submit appeals, reconsiderations, corrected claims, and supporting documentation as necessary to secure reimbursement, if necessary to identify reimbursement opportunities.
• Perform front-end claim rejection review and resolution activities.
• Process supplemental payer billing and follow-up activities.
• Maintain complete and accurate documentation within the patient accounting system.
• Collaborate with Franchise, Intake, Authorization, Billing, Posting, and other internal teams.
• Ensure compliance with HIPAA, payer requirements, and company policies.
• Meet or exceed productivity, quality, collection, and aging reduction goals.
• Participate in process improvement initiatives.
• Perform other duties as assigned.
• After 120 days, remote work may be considered based on performance, productivity, quality standards, attendance, and business needs.

Required Skills/Abilities

• Excellent communication skills: listening, speaking, understanding, and writing English
• Proficient typing and computer skills to accurately process orders and tickets
• Strong organizational skills with the ability to track and maintain clear, complete records of activities, cases, and related documentation.
• Proven knowledge and skill in utilizing the MS Office suite of software
• Disciplined work ethic with the ability to work remotely with little direct supervision and meet production and quality targets

Education and Experience

• High School Diploma or GED.
• Minimum one (1) year of healthcare revenue cycle, medical billing, collections, accounts receivable, or customer service experience.
• Working knowledge of healthcare reimbursement methodologies and payer processes.
• Previous remote work experience is a plus but not required.

Physical Requirements

• Sitting: Prolonged periods of sitting are typical, often for the majority of the workday.
• Keyboarding: Frequent use of a keyboard for typing and data entry.
• Reaching: Occasionally reaching for items such as files, documents, or office supplies.
• Fine Motor Skills: Precise movements of the fingers and hands for tasks like typing, using a mouse, and handling paperwork.
• Visual Acuity: Good vision for reading documents, computer screens, and other detailed work

Be part of an organization that invests in you! We are reviewing applications for this role and will contact qualified candidates for interviews. 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.