Medical Revenue Cycle - Collections Specialist

Collections Specialist

Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track record of generating the very best outcomes for patients, payers, and providers. Deep clinical expertise is the foundation for every part of Paradigm's business: risk-based clinical solutions, case management, specialty networks, home health, shared decision support, and payment integrity programs.

We're proud to be recognizedagain! For the fourth year in a row, we've been certified by Great Place to Work, and for the third consecutive year, we've earned a spot on Fortune's Best Workplaces in Health Care list. These honors reflect our unwavering commitment to fostering a positive, inclusive, and employee-centric culture where people thrive.

The Collections Specialist is responsible for managing accounts receivable activities for various accounts.

Demonstrates a customer-first mindset through a commitment to delivering the best possible outcomes for our customers, which include injured workers, payors, clients, providers, stakeholders, and internal teams. By fully leveraging Paradigm's solutions, delivering consistently high-quality service, and collaborating effectively with internal and external partners, we create an exceptional customer experience.

Duties And Responsibilities:

• Generate aged accounts receivable reports for assigned accounts to review with management.
• Prepare client-specific reports.
• Thoroughly review open accounts and any issues prior to contacting client.
• Develop positive relationship with client contact to review open A/R on a weekly basis to reduce DSO.
• Create and maintain collection documentation for each client.
• Conduct business-to-business calls and/or correspondence in a fast-paced, goal-oriented environment.
• Provide excellent customer service regarding collection issues; review and resolve client discrepancies and short payments as identified
• Responsible for customer calls, emails, open A/R reporting, account adjustment recommendations.
• Accountable for reducing delinquency for accounts.
• Work closely with departmental management as well as other internal departments, when necessary, to resolve aged accounts.
• Weekly and monthly reporting to direct supervisor.
• Internal and external customer interface.
• Assist leadership in creating and/or updating departmental policies and trending reports
• Maintain confidentiality and integrity of PHI in line with HIPAA and internal Privacy and Information Security policies.
• Maintain reliable and predictable attendance during scheduled work hours.
• Utilizes AI tools to support day-to-day tasks, improve efficiency, and enhance output quality. Adopts new technologies as trained and applies them in alignment with established processes and guidelines.
• Demonstrates a customer-first mindset by developing a broad and deep (where appropriate) understanding of Paradigm organization, products, operations, and customers. Prioritizes collaboration to meet customer needs and expectations and takes personal accountability for service quality.
• Responsible for complying with Paradigm Information Security requirements and policies, for safeguarding Paradigm or Paradigm related passwords, and for notifying Paradigm of any Information Security incidents per policy SEC 10-12 Information Security Incident Management.

Qualification Requirements:

• 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, using diplomacy and tact.
• The ability to operate a personal computer for extended periods

Paradigm Benefits:

• Health and wellness We want our people to be and stay healthy, so we offer PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only).
• Financial incentives Paradigm's financial benefits help prepare you for the future: competitive salaries, 401(k) matching contributions, employer-paid life and disability insurance, flexible spending and commuter accounts, and employer-matched HSA contributions.
• Vacation - We believe strongly that work-life balance is good for you and for our company. Our paid time off and personal holiday programs give you the flexibility you need to live your life to the fullest.
• Volunteer time We want our employees to engage with and give back to their communities in meaningful ways. Full and part-time employees receive one paid day per calendar year.
• Learning and development: One of Paradigm's core values is expertise, so we encourage our employees to continually learn and grow. We support this in a variety of ways, including our new Learning Excellence at Paradigm (LEAP) program.

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.

Paradigm complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact Leave Management at View email address on click.appcast.io.

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.

As a contractor with the State of Wisconsin, Paradigm complies with Wisconsin Contract Compliance Law (16.765). Poster link: Contract Compliance Law Poster