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 recognized—again! 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.
Watch this short video for a brief introduction to Paradigm.
The Collections Specialist is responsible for client and payor collections and, depending on assigned responsibilities, may also manage collections from providers for outstanding recoupment balances. The Collections Specialist will be responsible for assigned open AR reporting with the goal of reducing delinquency across assigned accounts.
DUTIES AND RESPONSIBILITIES:
- Generate aged AR reports for assigned accounts and review collection activity and outstanding balances with management.
- Prepare client-specific reports.
- Thoroughly review open accounts, balances, payment history, and outstanding issues before initiating collection activity.
- Develop positive working relationships with client, payor, and/or provider contacts to resolve outstanding balances and reduce aging.
- Create and maintain collection documentation for assigned accounts.
- 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
- Medical AR Experience Required
- 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
Other details
PI288336629