Collections specialist - medical

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.

SUMMARY: The Collections Specialist is responsible for managing accounts receivable activities for accounts in the Networks and Operations business unit.

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 AR 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 AR reporting, account adjustment recommendations.
• Accountable for reducing delinquency for accounts.
• Work closely with the departmental management and 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/updating departmental policies and trending reports
• Maintain confidentiality and integrity of PHI in line with HIPAA and internal Privacy and Information Security policies.
• Responsible for complying with Paradigm IT security requirements 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.

• 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 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 [email protected].

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.