Collections Specialist

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 by Great Place to Work®, and for the third consecutive year, we’ve earned a spot on . These honors reflect our unwavering commitment to fostering a positive, inclusive, and employee-centric culture where people thrive.

Watch this for a brief introduction to Paradigm.

The Collections Specialist is responsible for managing accounts receivable activities for various accounts.

Demonstrates a customer-first mindset through a commitment to delivering the best possible outcomes for our customers, which include injured workers, payors, clients, providers, stakeholders, and internal teams. By fully leveraging Paradigm’s solutions, delivering consistently high‑quality service, and collaborating effectively with internal and external partners, we create an exceptional customer experience.

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 A/R 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 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
• 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