Medical Revenue Cycle - Collections Specialist

SUMMARY

We are seeking a full-time, remote Medical Revenue Cycle Collections Specialist. The Collections Specialist is responsible for managing accounts receivable activities for accounts in the Networks and Operations business unit.

The Collections Specialist will be responsible for researching refund requests, review open recoupment and offset opportunities for approval, assigned open AR reporting with the goal of reducing delinquency for all assigned aging.

In addition to customer calls, emails, open AR reporting, and account adjustment recommendations. The Collections Specialist will also :

• Provide excellent customer service regarding collection issues.
• Have understanding of Explanation of Reimbursement and reason codes.
• Generate aged AR reports for assigned accounts to review with management.
• Thoroughly review open accounts and any issues prior to contacting client.
• Identifying, reviewing, and resolving client discrepancies such as overpayment and underpayments.
• Develop positive relationships with client contacts to review open AR on a weekly basis to reduce DSO.
• Create and maintain collection documentation for each client.
• Maintain confidentiality and integrity of PHI in line with HIPAA and internal Privacy and Information Security policies.
• Responsible for complying with Paradigm IT security requirement and policies.
• Responsible for safeguarding Paradigm or Paradigm related IT passwords.
• Responsible for notifying Paradigm of any IT security incidents per Policy No. 16.0 Information Security Incident Management.

QUALIFICATION REQUIREMENTS : To perform this job successfully an individual must be able to perform each essential duty satisfactorily.

The requirements listed below are representative of the knowledge, skill, and / or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Medical A / R experience required
• Bachelor’s degree or equivalent experience
• Excellent organizational skills and attention to detail
• Excellent problem-solving skills
• Knowledge of Paradigm systems and processes, customers, and industry
• Proven ability to partner and collaborate
• Excellent time management and prioritization
• Self-motivated and able to work with little supervision
• Exceptional computer skills, including Microsoft Office and web-based applications
• Clear, concise and professional verbal and written communication. Ability to communicate with all members of the company and external customers.

Ability to handle communicate with diplomacy and tact.

The ability to operate a personal computer for extended periods

Paradigm believes that fostering a diverse and inclusive workplace is central to our mission of helping more people and transforming lives.

We’re striving to build a culture that better reflects the society we live in and empowers our team to deliver the highest levels of compassion and care to those we serve.

For us, achieving this goal requires a workforce that respectfully embraces differences and commits to positive change, creating an environment where everyone is able to bring their whole self to work.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

Other details

• Job Family Active
• Pay Type Hourly
• Min Hiring Rate $23.25
• Max Hiring Rate $25.00

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