[Hiring] Revenue Cycle Collector @Local Infusion

Role Description

We're looking for a seasoned healthcare collector with the experience and judgment to effectively manage complex, aged, and high-dollar insurance receivables. The ideal candidate can independently manage a high-volume portfolio, identify the root cause of non-payment, determine the appropriate recovery pathway, and escalate accounts appropriately using established payer and industry-standard processes.

What You'll Own

• Manage assigned insurance AR with a primary focus on aged, high-dollar, and priority revenue
• Meet established productivity expectations while maintaining a high standard of quality and accuracy
• Perform meaningful collection activity designed to advance claims toward payment or final resolution
• Research unpaid, denied, and underpaid claims to identify the underlying root cause
• Resolve denials, rejections, underpayments, authorization-related issues, eligibility issues, and other payer barriers
• Determine the appropriate resolution pathway, including corrected claims, reconsiderations, first- and second-level appeals, payer escalations, and internal escalations
• Follow payer-specific requirements for timely filing, reconsiderations, appeals, and dispute resolution
• Communicate with payers to obtain claim status, processing details, call reference numbers, and clearly defined next steps
• Maintain concise, complete, and actionable account documentation
• Establish appropriate follow-up dates and actively manage claims throughout the collection lifecycle
• Identify recurring payer trends and systemic issues and escalate them for broader resolution
• Partner cross-functionally with Billing, Authorization, Intake, Cash Posting, Patient Collections, and RCM leadership to resolve revenue barriers
• Prioritize inventory based on financial exposure, aging, timely filing risk, and recovery opportunity
• Maintain ownership of assigned inventory through payment or final disposition

What Success Looks Like

• Conducting thorough claim research to identify the root cause of non-payment or underpayment
• Selecting the appropriate resolution pathway based on payer requirements, claim status, and established escalation protocols
• Maintaining complete, concise, and actionable documentation of findings, actions taken, payer responses, and next steps
• Establishing appropriate follow-up timelines and maintaining consistent ownership through payment or final disposition
• Recognizing when standard collection activity is no longer effective and initiating the appropriate reconsideration, appeal, payer escalation, or internal escalation
• Identifying recurring payer or process trends and escalating systemic issues for broader resolution
• Balancing productivity, quality, and financial impact while meeting established performance expectations
• Demonstrating measurable contribution to aged AR reduction, cash recovery, and inventory resolution

Qualifications

• 3+ years of healthcare insurance collections or AR follow-up experience, preferably within infusion, specialty pharmacy, physician practice, or another complex specialty environment
• Demonstrated experience managing aged and high-dollar accounts receivable
• Strong working knowledge of commercial and government payer processes
• Experience resolving denials, underpayments, authorization issues, eligibility issues, and claim-processing errors
• Working knowledge of corrected claims, reconsiderations, appeals, timely filing requirements, and payer escalation pathways
• Ability to interpret EOBs, ERAs, payer correspondence, and claim-processing information
• Strong account documentation and follow-up discipline
• Ability to independently prioritize a large inventory based on risk, aging, and financial impact
• Ability to work effectively within established productivity and quality standards
• Strong analytical and problem-solving skills with the ability to identify trends and recognize when broader escalation is required
• Experience with infusion or specialty medication billing and collections strongly preferred

Requirements

• Success in this role is measured by both productivity and outcomes.
• Key performance indicators include meaningful claim activity, documentation quality, adherence to follow-up expectations, aged AR reduction, cash recovery, and inventory resolution.
• Collectors are expected to maintain ownership of assigned accounts from initial assignment through payment or final disposition, while consistently meeting established productivity and quality expectations.

Benefits

• Medical, dental, and vision insurance through our employer plan
• Short and long-term disability coverage
• 401(k) — as an early-stage startup, and we match!
• 15 Days PTO — and we want you to take it!
• Competitive paid parental leave and flexible return to work policy.
• We invest in your career with access to professional development opportunities.