Collections Specialist
About The Position
We’re looking for a Collections Specialist who wants their work to mean something — someone who brings accountability, precision, and purpose to reimbursement follow‑up and payer resolution. Timely reimbursement is essential to sustaining patient care. The Collections Specialist plays a critical role in ensuring claims are resolved efficiently and payer balances are managed responsibly — helping patients stay on therapy and supporting a financially sound care model. In this role, you’ll contribute to work that helps patients avoid delays or interruptions in infusion care, supports accurate reimbursement across all therapy types, strengthens collaboration between billing, pharmacy, and operations teams, ensures compliance with payer, legal, and regulatory requirements, and advances a patient‑first, clinician‑led organization focused on outcomes. Behind every successful infusion is a revenue‑cycle process that works — and this role helps protect it.
Requirements
- High school diploma or GED
- Minimum of three (3) years of experience in collections‑related activities
- Experience providing customer service to internal and external stakeholders
- Basic proficiency with Microsoft Office (Word, Excel, PowerPoint)
Nice To Haves
- Five (5) or more years of collections experience
- Prior home infusion therapy billing or collections experience
Responsibilities
- Follow up on submitted insurance claims to ensure correct and timely payment
- Monitor and manage assigned payer accounts to minimize delinquent balances
- Investigate denials, underpayments, and unpaid balances, determining appropriate resolution paths
- Work directly with payers to correct issues and secure reimbursement
- Distinguish between claims billed correctly versus those requiring correction or rebilling
- Maintain a strong understanding of payer contracts, reimbursement methodologies, and coverage requirements
- Collaborate with internal billing, pharmacy, and operations teams to resolve claim issues efficiently
- Respond professionally and promptly to customer and internal inquiries related to claim status
- Stay current on billing regulations, coding guidelines, and payer policy updates
- Utilize clearinghouses and billing systems to support effective collections workflows
- Assist with data entry, reporting, and administrative tasks as needed
- Maintain accuracy, follow‑through, and professionalism in all payer interactions
Benefits
- Potential hybrid work model as trust and performance are established
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
