Ensure timely and accurate authorizations that keep patients on therapy without delays.
About Vital Care
Vital Care is the premier pharmacy franchise business in the U.S., serving patients with chronic and acute conditions through over 100 franchised infusion pharmacies and clinics in 35 states. Since 1986, we’ve helped locally-owned franchises launch, grow, and succeed—especially in underserved and secondary markets. Our mission is to improve lives by making infusion services accessible, efficient, and community-driven.
Schedule
- Full-time, remote position
- Monday–Friday, with ongoing coordination between franchise partners, payers, and internal teams
Responsibilities
- Review patient files for completeness and accuracy to ensure all revenue opportunities are included in prior authorization submissions
- Complete and submit prior authorizations in a timely manner to secure payer reimbursement
- Communicate with franchise partners, payers, and internal departments to track and report authorization status
- Document all case activity and correspondence to maintain accurate, complete account records
- Investigate and verify benefits for both pharmacy and medical third-party claims
- Obtain reauthorizations, follow up on pending requests, and expedite responses from payers
- Track and escalate service issues to avoid delays that could interrupt patient therapy
- Clearly communicate financial obligations to patients before starting service
Requirements
- Minimum 2 years’ experience in intake/authorizations and home infusion therapy (required)
- High school diploma or equivalent (required)
- Strong communication skills with the ability to influence patients, caregivers, and payer representatives
- Proven understanding of billing and collection processes across payer types
- Ability to identify gaps from documentation reviews, propose solutions, and take corrective action
- Strong organizational skills for tracking and maintaining case records
- Proficiency with Microsoft Office and pharmacy applications
Benefits
- Medical, dental, and vision plans
- Flexible spending and health savings accounts
- Paid time off, personal days, and company-paid holidays
- Paid parental leave and volunteer days off
- Company-sponsored life and disability insurance, plus optional supplemental coverage
- 401(k) matching and tuition reimbursement
- Employee assistance programs for mental health, financial, and legal support
- Professional development and growth opportunities
- Rewards and employee referral programs
Be part of a team recognized as a “Best Place to Work in Modern Healthcare” and make an impact by ensuring patients get the care they need—without delays.
Happy Hunting,
~Two Chicks…