Medical Claims Specialist (Remote)

📍 Location: Remote – United States
🕒 Schedule: Full-time | 100% Remote


🌟 About Vital Care

Vital Care is the premier pharmacy franchise business with over 100 franchised infusion pharmacies and clinics across 35 states. Since 1986, we’ve been improving lives by supporting locally-owned pharmacies that serve patients with chronic and acute conditions, especially in underserved markets. Recognized as a Best Place to Work in Modern Healthcare, Vital Care is committed to creating an inclusive, growth-focused environment where every voice matters.


📌 What You’ll Do

As a Medical Claims Specialist, you’ll play a critical role in the revenue cycle by ensuring claims are processed accurately, on time, and in compliance with regulations.

  • Submit medical, pharmacy, and third-party claims accurately and promptly.
  • Resolve rejected claims and prevent future denials.
  • Maintain and update ready-to-bill delivery tickets and ensure billing accuracy.
  • Document all case activity, communications, and account details in CareTend.
  • Provide billing expertise to improve processes, training, and team efficiency.
  • Collaborate with RCM and franchise partners to reduce denial rates and bad debt.
  • Perform other duties as needed to support the team and business goals.

✅ What You Need

  • 2–5 years of home infusion billing and/or collections experience (required).
  • High School Diploma (specialized training in pharmacy/medical billing preferred).
  • Strong understanding of payer processes and billing workflows.
  • Proficiency in MS Office and pharmacy billing applications.
  • Exceptional communication skills (verbal & written).
  • Highly organized with strong problem-solving and investigative skills.
  • Ability to work independently in a remote environment with minimal supervision.
  • Detail-oriented with experience in post-billing and payment reconciliation.

🎁 Benefits

  • Medical, dental, and vision plans (with HSA & FSA options).
  • Paid Time Off, personal days & company-paid holidays.
  • Paid Parental Leave & Volunteerism Days.
  • 401(k) with company match.
  • Income protection programs: basic life, disability, and voluntary insurance.
  • Tuition reimbursement & professional development opportunities.
  • Mental health, financial, and legal support via Employee Assistance Program (EAP).
  • Employee referral program & carrier reward programs.

⚡ Why Join Us?

Be part of a mission-driven team improving healthcare access for patients across the country. At Vital Care, we invest in our people and create opportunities for growth, learning, and impact.

We’re hiring now — apply today and make a difference!

Happy Hunting,

~Two Chicks…

APPLY HERE