6 open positions available
Lead sales analytics and reporting to drive strategic growth and operational efficiency for a franchise home infusion sales network. | 7-10 years in sales operations and analytics within healthcare or home infusion, advanced data analysis and visualization skills, CRM expertise, and strong communication and leadership abilities. | 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 (www.vitalcare.com) 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 Manager, Sales Strategy & Analytics, will serve as the data-driven engine behind the strategic growth and operational efficiency of the home infusion sales function within our franchisor organization. This role is highly analytical in nature, with a focus on developing, interpreting, and communicating insights that guide decision-making at both the corporate and franchise level. The Manager will oversee the collection, analysis, and reporting of sales data while ensuring the optimization of sales processes, tools, and performance metrics across the network. The ideal candidate will have deep expertise in data analytics, forecasting, performance reporting, and sales process optimization, enabling our franchise network to achieve sustained revenue growth and deliver exceptional patient care. Duties/Responsibilities: Data Analytics & Sales Insights • Own all sales reporting and analytics functions, serving as the subject matter expert on data-driven decision making. • Build, maintain, and enhance sales dashboards and reporting tools (CRM, BI platforms, Excel, etc.) to deliver actionable insights to corporate leadership and franchise owners. • Conduct advanced analyses of sales performance, market penetration, referral conversion, and therapy mix to identify trends, risks, and opportunities. • Translate data into compelling visualizations, presentations, and recommendations that drive operational and strategic decisions. • Deliver predictive models and accurate sales forecasts that align with both corporate objectives and local franchise targets. Performance Management & Reporting • Track, analyze, and report on sales KPIs, including revenue, conversion rates, referral growth, IG therapy mix, and protected territory penetration. • Provide detailed variance analysis, identifying underlying performance drivers and recommending corrective actions. • Prepare, present, and own all reports for Strategic Reviews, including: • SNO & UOW Reviews: Provide comprehensive data packages on Sold Not Open and Under Our Watch locations. • QBRs & CBRs: Develop and present detailed performance reports for Quarterly and Comprehensive Business Reviews. • Board-Level MD&A: Deliver Management Discussion & Analysis narratives with KPIs, variance explanations, and strategic recommendations. • Monitor and analyze Press Ganey patient satisfaction data and operational quality metrics, linking them to sales outcomes and growth opportunities. Sales Strategy & Process Optimization • Collaborate with leadership to build data-informed sales strategies tailored to franchise and market needs. • Standardize, refine, and automate reporting processes and workflows to reduce inefficiencies and improve consistency across the network. • Evaluate and implement sales tools and technologies, ensuring data integrity and system adoption. • Partner with Finance to ensure alignment of revenue reporting, forecasting, and market performance tracking. Franchisee Support & Training • Act as the analytics partner to franchise owners, helping them interpret their sales performance and identify opportunities for growth. • Provide hands-on training and support for franchisees and AEs on CRM usage, reporting tools, and performance analytics. • Design and deliver workshops on leveraging data for business planning, sales management, and strategic growth. Cross-Functional Collaboration • Work closely with Marketing, Operations, and Clinical leaders to ensure sales analytics align with operational capacity and patient care priorities. • Serve as the key liaison between sales and corporate leadership, ensuring timely communication of insights, risks, and growth opportunities. Budget & Resource Management • Oversee the sales analytics and reporting budget, ensuring the effective allocation of resources to deliver maximum business impact. Required Skills/Abilities: Analytical & Technical Expertise • Advanced skills in data analysis, forecasting, and visualization (Excel, Power BI/Tableau, CRM reporting, etc.). • Experience leveraging CRM platforms (e.g., Trella, Salesforce, CareTend) to drive reporting and analytics. • Strong knowledge of sales metrics, KPIs, and data modeling techniques. Industry & Business Acumen • Deep understanding of the home infusion/healthcare industry, including compliance, patient care, and referral dynamics. • Proven ability to convert complex data into simple, actionable insights that drive both tactical and strategic outcomes. Leadership & Communication • Skilled communicator capable of presenting complex analysis to executives, franchise owners, and field sales teams. • Ability to mentor and upskill others in data literacy and performance management. • Detail-oriented, with strong organizational and project management skills. Education and Experience: • Bachelor's degree in Business Analytics, Data Science, Finance, Business Administration, or related field (MBA or advanced degree preferred). • 7-10 years of experience in sales operations and analytics, ideally within healthcare or home infusion. • Proven track record in building sales reporting frameworks, forecasting models, and executive-level analysis. • Experience in multi-location, franchise, or distributed sales organizations strongly preferred. 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. This position is full-time.
Develop and manage sales analytics, forecasting, and reporting to guide strategic growth and operational efficiency for the home infusion sales function across franchise locations. | 7-10 years in sales operations and analytics within healthcare or home infusion, advanced data analysis and visualization skills, CRM expertise, and strong communication and leadership abilities. | 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 (www.vitalcare.com) 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 Manager, Sales Strategy & Analytics, will serve as the data-driven engine behind the strategic growth and operational efficiency of the home infusion sales function within our franchisor organization. This role is highly analytical in nature, with a focus on developing, interpreting, and communicating insights that guide decision-making at both the corporate and franchise level. The Manager will oversee the collection, analysis, and reporting of sales data while ensuring the optimization of sales processes, tools, and performance metrics across the network. The ideal candidate will have deep expertise in data analytics, forecasting, performance reporting, and sales process optimization, enabling our franchise network to achieve sustained revenue growth and deliver exceptional patient care. Duties/Responsibilities: Data Analytics & Sales Insights • Own all sales reporting and analytics functions, serving as the subject matter expert on data-driven decision making. • Build, maintain, and enhance sales dashboards and reporting tools (CRM, BI platforms, Excel, etc.) to deliver actionable insights to corporate leadership and franchise owners. • Conduct advanced analyses of sales performance, market penetration, referral conversion, and therapy mix to identify trends, risks, and opportunities. • Translate data into compelling visualizations, presentations, and recommendations that drive operational and strategic decisions. • Deliver predictive models and accurate sales forecasts that align with both corporate objectives and local franchise targets. Performance Management & Reporting • Track, analyze, and report on sales KPIs, including revenue, conversion rates, referral growth, IG therapy mix, and protected territory penetration. • Provide detailed variance analysis, identifying underlying performance drivers and recommending corrective actions. • Prepare, present, and own all reports for Strategic Reviews, including: • SNO & UOW Reviews: Provide comprehensive data packages on Sold Not Open and Under Our Watch locations. • QBRs & CBRs: Develop and present detailed performance reports for Quarterly and Comprehensive Business Reviews. • Board-Level MD&A: Deliver Management Discussion & Analysis narratives with KPIs, variance explanations, and strategic recommendations. • Monitor and analyze Press Ganey patient satisfaction data and operational quality metrics, linking them to sales outcomes and growth opportunities. Sales Strategy & Process Optimization • Collaborate with leadership to build data-informed sales strategies tailored to franchise and market needs. • Standardize, refine, and automate reporting processes and workflows to reduce inefficiencies and improve consistency across the network. • Evaluate and implement sales tools and technologies, ensuring data integrity and system adoption. • Partner with Finance to ensure alignment of revenue reporting, forecasting, and market performance tracking. Franchisee Support & Training • Act as the analytics partner to franchise owners, helping them interpret their sales performance and identify opportunities for growth. • Provide hands-on training and support for franchisees and AEs on CRM usage, reporting tools, and performance analytics. • Design and deliver workshops on leveraging data for business planning, sales management, and strategic growth. Cross-Functional Collaboration • Work closely with Marketing, Operations, and Clinical leaders to ensure sales analytics align with operational capacity and patient care priorities. • Serve as the key liaison between sales and corporate leadership, ensuring timely communication of insights, risks, and growth opportunities. Budget & Resource Management • Oversee the sales analytics and reporting budget, ensuring the effective allocation of resources to deliver maximum business impact. Required Skills/Abilities: Analytical & Technical Expertise • Advanced skills in data analysis, forecasting, and visualization (Excel, Power BI/Tableau, CRM reporting, etc.). • Experience leveraging CRM platforms (e.g., Trella, Salesforce, CareTend) to drive reporting and analytics. • Strong knowledge of sales metrics, KPIs, and data modeling techniques. Industry & Business Acumen • Deep understanding of the home infusion/healthcare industry, including compliance, patient care, and referral dynamics. • Proven ability to convert complex data into simple, actionable insights that drive both tactical and strategic outcomes. Leadership & Communication • Skilled communicator capable of presenting complex analysis to executives, franchise owners, and field sales teams. • Ability to mentor and upskill others in data literacy and performance management. • Detail-oriented, with strong organizational and project management skills. Education and Experience: • Bachelor's degree in Business Analytics, Data Science, Finance, Business Administration, or related field (MBA or advanced degree preferred). • 7-10 years of experience in sales operations and analytics, ideally within healthcare or home infusion. • Proven track record in building sales reporting frameworks, forecasting models, and executive-level analysis. • Experience in multi-location, franchise, or distributed sales organizations strongly preferred. 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. This position is full-time.
Supervise and manage a team handling patient referrals, insurance verification, billing, collections, and compliance in an infusion pharmacy setting. | Requires 2-3 years infusion experience, 3+ years supervisory experience, knowledge of pharmacy systems, and strong communication and leadership skills. | 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 (www.vitalcare.com) 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: Perform functions to plan for and manage the Specialist positions, involving initial intake, billing, and collections requirements. Will cultivate an environment of outstanding customer service as the company's voice in all interactions with franchise partners, payers, and patients. Duties/Responsibilities: • Supervise team in processing new patient referrals, insurance benefits investigation and verifications, prior authorizations, billing, and collections. • Manage Reimbursement Specialist schedules to reallocate resources to meet KPIs. Track workload distribution and conduct ongoing needs assessments to identify staffing opportunities. • Serve as an escalation agent for the team to resolve any franchise partner or patient complaints. • Implement, communicate, and maintain operating procedures covering functional areas, quality, compliance, and related performance expectations. • Monitor team results to evaluate compliance with quality and productivity expectations and identify improvement opportunities. • Collaborate with Payor/Benefit support programs to resolve missing claims reports and handle member escalations. • Implement customer service standards of excellence and ensure compliance. Cultivate an environment of customer service orientation through training and mentoring staff in customer service and collection techniques. • May be responsible for reconciling reimbursement checks against claims with some programs. • Monitor team activities and work with Reimbursement Specialist to provide guidance, training, and improved skills in patient insurance billing, collections, benefit investigation, and insurance authorizations. Balance workload and manage schedules to suit demand and service standards. • Audit transactions processed by the team to ensure accounts are accurate and appropriately escalated in compliance with policies and procedures and identify training opportunities. Review claims acceptance and rejection reports and perform necessary activities to correct and resubmit rejections. • Interview, select, train, and assign department associates. Provide direction and mentoring. Develop and communicate performance metrics to assess the team's effectiveness, both individually and as a department. • Evaluate performance and provide counseling, cross-training, and coaching to associates. Maintain mutually respectful employer relations. • Perform other related duties as assigned. Required Skills/Abilities: • Highly effective communicator with superior listening, understanding, speaking, and writing skills. • Solid business knowledge and ability to analyze data to identify actions to be taken. • Lead by example and strong team-building skills, with the ability to influence, lead, teach, train, counsel, and coach to accomplish organizational goals. • Ability to identify training requirements and develop and implement training models to improve results. • Demonstrated knowledge of current pharmacy applications and MS Office software, including strong Excel proficiency. • Strong customer service and leadership skills to develop a customer-centric culture and instill ownership of the customer/patient experience. Ability to foster care and compassion for the patients while instilling price to exceed performance objectives. • Ability to work collaboratively across functional teams and manage projects. • Analytical skills and business acumen demonstrated through proven problem-solving and the ability to exercise solid professional judgment in analyzing business issues and exploring options for resolution. Education and Experience: • Bachelor's degree in business or equivalent work experience preferred. • 2-3 years of experience is required in an infusion setting. • Minimum 3 years of supervisor experience required. • Knowledge of all Vital Care systems, including CareTend, and the RCM Portal. • Knowledge of Payer Compliance. 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. This is a full-time position.
Lead sales analytics, reporting, forecasting, and strategy for a multi-location healthcare franchise network to drive revenue growth and operational efficiency. | Bachelor's degree in related field, 7-10 years sales operations and analytics experience in healthcare or home infusion, CRM expertise, strong communication and leadership skills. | 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 (www.vitalcare.com) 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 Manager, Sales Strategy & Analytics, will serve as the data-driven engine behind the strategic growth and operational efficiency of the home infusion sales function within our franchisor organization. This role is highly analytical in nature, with a focus on developing, interpreting, and communicating insights that guide decision-making at both the corporate and franchise level. The Manager will oversee the collection, analysis, and reporting of sales data while ensuring the optimization of sales processes, tools, and performance metrics across the network. The ideal candidate will have deep expertise in data analytics, forecasting, performance reporting, and sales process optimization, enabling our franchise network to achieve sustained revenue growth and deliver exceptional patient care. Duties/Responsibilities: Data Analytics & Sales Insights • Own all sales reporting and analytics functions, serving as the subject matter expert on data-driven decision making. • Build, maintain, and enhance sales dashboards and reporting tools (CRM, BI platforms, Excel, etc.) to deliver actionable insights to corporate leadership and franchise owners. • Conduct advanced analyses of sales performance, market penetration, referral conversion, and therapy mix to identify trends, risks, and opportunities. • Translate data into compelling visualizations, presentations, and recommendations that drive operational and strategic decisions. • Deliver predictive models and accurate sales forecasts that align with both corporate objectives and local franchise targets. Performance Management & Reporting • Track, analyze, and report on sales KPIs, including revenue, conversion rates, referral growth, IG therapy mix, and protected territory penetration. • Provide detailed variance analysis, identifying underlying performance drivers and recommending corrective actions. • Prepare, present, and own all reports for Strategic Reviews, including: • SNO & UOW Reviews: Provide comprehensive data packages on Sold Not Open and Under Our Watch locations. • QBRs & CBRs: Develop and present detailed performance reports for Quarterly and Comprehensive Business Reviews. • Board-Level MD&A: Deliver Management Discussion & Analysis narratives with KPIs, variance explanations, and strategic recommendations. • Monitor and analyze Press Ganey patient satisfaction data and operational quality metrics, linking them to sales outcomes and growth opportunities. Sales Strategy & Process Optimization • Collaborate with leadership to build data-informed sales strategies tailored to franchise and market needs. • Standardize, refine, and automate reporting processes and workflows to reduce inefficiencies and improve consistency across the network. • Evaluate and implement sales tools and technologies, ensuring data integrity and system adoption. • Partner with Finance to ensure alignment of revenue reporting, forecasting, and market performance tracking. Franchisee Support & Training • Act as the analytics partner to franchise owners, helping them interpret their sales performance and identify opportunities for growth. • Provide hands-on training and support for franchisees and AEs on CRM usage, reporting tools, and performance analytics. • Design and deliver workshops on leveraging data for business planning, sales management, and strategic growth. Cross-Functional Collaboration • Work closely with Marketing, Operations, and Clinical leaders to ensure sales analytics align with operational capacity and patient care priorities. • Serve as the key liaison between sales and corporate leadership, ensuring timely communication of insights, risks, and growth opportunities. Budget & Resource Management • Oversee the sales analytics and reporting budget, ensuring the effective allocation of resources to deliver maximum business impact. Required Skills/Abilities: Analytical & Technical Expertise • Advanced skills in data analysis, forecasting, and visualization (Excel, Power BI/Tableau, CRM reporting, etc.). • Experience leveraging CRM platforms (e.g., Trella, Salesforce, CareTend) to drive reporting and analytics. • Strong knowledge of sales metrics, KPIs, and data modeling techniques. Industry & Business Acumen • Deep understanding of the home infusion/healthcare industry, including compliance, patient care, and referral dynamics. • Proven ability to convert complex data into simple, actionable insights that drive both tactical and strategic outcomes. Leadership & Communication • Skilled communicator capable of presenting complex analysis to executives, franchise owners, and field sales teams. • Ability to mentor and upskill others in data literacy and performance management. • Detail-oriented, with strong organizational and project management skills. Education and Experience: • Bachelor's degree in Business Analytics, Data Science, Finance, Business Administration, or related field (MBA or advanced degree preferred). • 7-10 years of experience in sales operations and analytics, ideally within healthcare or home infusion. • Proven track record in building sales reporting frameworks, forecasting models, and executive-level analysis. • Experience in multi-location, franchise, or distributed sales organizations strongly preferred. 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. This position is full-time.
Process referrals and billing claims accurately, manage prior authorizations, communicate with franchise partners, and improve revenue cycle management. | High school diploma with 2 years intake, medical billing, collections, and home infusion therapy experience; coding certification preferred. | 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. Proven knowledge and skill in utilizing MS Office suite of software and pharmacy applications. Vital Care (www.vitalcare.com) 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: Perform duties to process referrals, focusing on accuracy, timeliness, and adherence to processes to reduce denial rate, DSO, and bad debt. Recognize additional revenue opportunities and improve collection rates while working within standard or accepted practice limits. Credentialing/re-credentialing and Contract applications. Duties/Responsibilities: • Review patient files for completeness and accuracy, identify and audit claims, ensure all revenue opportunities are included, and complete and submit primary and secondary billing to payers for reimbursement via paper bills and clearinghouse submittals. • Communicate effectively with franchise partners and other VCI departments regarding the status of order intake. • Document case activity, communications, and correspondence in the computer system to ensure completeness and accuracy of account activity and actions taken to resolve outstanding claims issues. Schedule follow-ups in required intervals. • Investigate and verify benefits for pharmacy and medical third-party claims. • Obtain prior authorizations; initiate requests, follow up to provide the additional required information, track progress, expedite responses from insurance carriers and other payers, and maintain contact with customers to keep them continuously informed. • Track, report, and escalate service issues arising from requests for authorizations or other issues that delay service to ensure patient access and to avoid delays that may interrupt therapy. • Communicate financial obligation information with patients so that they clearly understand all therapy costs before starting service. • Contribute medical billing expertise to the design of training and knowledge transfer programs, materials, policies, and procedures to improve the efficiency and effectiveness of the RCM team. Assist with processing online adjudication of collection issues and nurse billing as assigned. • Perform other related duties as assigned. Required Skills/Abilities: • Excellent communication skills: listening, speaking, understanding, and writing English while influencing patients, caregivers, and payer representatives, answering questions, and advancing reimbursement and collection efforts. • Proven understanding of processes, systems, and techniques to ensure successful billing and collection working with all payer types. • Proven ability to identify gaps and problems from a documentation review, determine lasting solutions, make effective decisions, and take necessary corrective action. • 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 MS Office suite of software and pharmacy applications. Education and Skills: • High school diploma or equivalent and additional specialized training in intake, pharmacy/medical billing, and/or collections. • Two years' Intake, Medical Billing, and/or Collections experience required. • Two years of home infusion therapy is required. • Coding Course Certification is highly preferred. 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. This position is full-time.
Manage and supervise a team handling patient referrals, insurance verification, billing, collections, and ensure compliance and quality standards. | Requires 2-3 years infusion experience, 3 years supervisory experience, knowledge of Vital Care systems, and strong leadership and communication skills. | 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 (www.vitalcare.com) 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: Perform functions to plan for and manage the Specialist positions, involving initial intake, billing, and collections requirements. Will cultivate an environment of outstanding customer service as the company's voice in all interactions with franchise partners, payers, and patients. Duties/Responsibilities: • Supervise team in processing new patient referrals, insurance benefits investigation and verifications, prior authorizations, billing, and collections. • Manage Reimbursement Specialist schedules to reallocate resources to meet KPIs. Track workload distribution and conduct ongoing needs assessments to identify staffing opportunities. • Serve as an escalation agent for the team to resolve any franchise partner or patient complaints. • Implement, communicate, and maintain operating procedures covering functional areas, quality, compliance, and related performance expectations. • Monitor team results to evaluate compliance with quality and productivity expectations and identify improvement opportunities. • Collaborate with Payor/Benefit support programs to resolve missing claims reports and handle member escalations. • Implement customer service standards of excellence and ensure compliance. Cultivate an environment of customer service orientation through training and mentoring staff in customer service and collection techniques. • May be responsible for reconciling reimbursement checks against claims with some programs. • Monitor team activities and work with Reimbursement Specialist to provide guidance, training, and improved skills in patient insurance billing, collections, benefit investigation, and insurance authorizations. Balance workload and manage schedules to suit demand and service standards. • Audit transactions processed by the team to ensure accounts are accurate and appropriately escalated in compliance with policies and procedures and identify training opportunities. Review claims acceptance and rejection reports and perform necessary activities to correct and resubmit rejections. • Interview, select, train, and assign department associates. Provide direction and mentoring. Develop and communicate performance metrics to assess the team's effectiveness, both individually and as a department. • Evaluate performance and provide counseling, cross-training, and coaching to associates. Maintain mutually respectful employer relations. • Perform other related duties as assigned. Required Skills/Abilities: • Highly effective communicator with superior listening, understanding, speaking, and writing skills. • Solid business knowledge and ability to analyze data to identify actions to be taken. • Lead by example and strong team-building skills, with the ability to influence, lead, teach, train, counsel, and coach to accomplish organizational goals. • Ability to identify training requirements and develop and implement training models to improve results. • Demonstrated knowledge of current pharmacy applications and MS Office software, including strong Excel proficiency. • Strong customer service and leadership skills to develop a customer-centric culture and instill ownership of the customer/patient experience. Ability to foster care and compassion for the patients while instilling price to exceed performance objectives. • Ability to work collaboratively across functional teams and manage projects. • Analytical skills and business acumen demonstrated through proven problem-solving and the ability to exercise solid professional judgment in analyzing business issues and exploring options for resolution. Education and Experience: • Bachelor's degree in business or equivalent work experience preferred. • 2-3 years of experience is required in an infusion setting. • Minimum 3 years of supervisor experience required. • Knowledge of all Vital Care systems, including CareTend, and the RCM Portal. • Knowledge of Payer Compliance. 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. This is a full-time position.
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