Revenue Cycle Collector

Local Infusion•Nashville, TN

6d•Remote

About The Position

Local Infusion is the fastest growing infusion provider in the United States, with a mission to transform the specialty infusion industry, because patients deserve better. By providing both exceptional, patient-centered care and the proprietary, AI-driven technology powering it, Local Infusion accelerates access, simplifies workflows, and improves outcomes for everyone in the infusion journey — from patients and clinicians to health plans, health systems, employers, and pharma. Clinicians can spend less time on paperwork and more time with patients, bringing comfort, connection, and community back to healthcare. With Local Infusion, every patient and every care team is fully supported, every step of the way.

Requirements

3+ years of healthcare insurance collections or AR follow-up experience, preferably within infusion, specialty pharmacy, physician practice, or another complex specialty environment
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 a 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 the ability to identify trends and recognize when broader escalation is required

Nice To Haves

Experience with infusion or specialty medication billing and collections strongly preferred

Responsibilities

Manage assigned insurance AR with a primary focus on aged, high-dollar, and priority revenue
Meet established productivity expectations while maintaining a high standard of quality and accuracy
Perform meaningful collection activity designed to advance claims toward payment or final resolution
Research unpaid, denied, and underpaid claims to identify the underlying root cause
Resolve denials, rejections, underpayments, authorization-related issues, eligibility issues, and other payer barriers
Determine the appropriate resolution pathway, including corrected claims, reconsiderations, first- and second-level appeals, payer escalations, and internal escalations
Follow payer-specific requirements for timely filing, reconsiderations, appeals, and dispute resolution
Communicate with payers to obtain claim status, processing details, call reference numbers, and clearly defined next steps
Maintain concise, complete, and actionable account documentation
Establish appropriate follow-up dates and actively manage claims throughout the collection lifecycle
Identify recurring payer trends and systemic issues and escalate them for broader resolution
Partner cross-functionally with Billing, Authorization, Intake, Cash Posting, Patient Collections, and RCM leadership to resolve revenue barriers
Prioritize inventory based on financial exposure, aging, timely filing risk, and recovery opportunity
Maintain ownership of assigned inventory through payment or final disposition