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Local Infusion is a fast-growing specialty infusion provider transforming healthcare delivery through patient-centered care and AI-driven technology. The company seeks an experienced healthcare revenue cycle collector to manage complex, aged, and high-dollar insurance receivables independently.
In this role, you will own a high-volume portfolio of assigned insurance accounts receivable with a focus on aged, high-dollar, and priority revenue. You will research unpaid, denied, and underpaid claims to identify root causes of non-payment, then determine and execute appropriate resolution pathways including corrected claims, reconsiderations, appeals, and payer escalations. You will communicate directly with payers to obtain claim status, processing details, and next steps, while maintaining thorough and actionable account documentation.
Key responsibilities include meeting established productivity expectations while maintaining quality and accuracy standards; resolving denials, rejections, underpayments, authorization issues, and eligibility barriers; following payer-specific timely filing and appeal requirements; establishing and managing appropriate follow-up dates throughout the collection lifecycle; identifying recurring payer trends and systemic issues for escalation; and partnering cross-functionally with Billing, Authorization, Intake, Cash Posting, Patient Collections, and RCM leadership to resolve revenue barriers.
Success is measured by consistent ownership of assigned accounts, thorough claim research, appropriate resolution pathway selection, complete documentation, timely follow-up discipline, recognition of when escalation is needed, identification of systemic trends, and measurable contribution to aged AR reduction, cash recovery, and inventory resolution. You will maintain ownership of assigned inventory through payment or final disposition.
REQUIREMENTS:
- 3+ years of healthcare insurance collections or AR follow-up experience, preferably in infusion, specialty pharmacy, physician practice, or complex specialty environments
- 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 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 ability to identify trends and recognize when broader escalation is required
- Experience with infusion or specialty medication billing and collections strongly preferred
