You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.

Specialized Collections Specialist (Specialist 3)

Location: Denver, CO (Hybrid) On-site 3 days in a row/month then remote rest of the month

Team: Specialized Collections / Mainstream Team (Commercial Patients)

 

About the Role

Our client is seeking a Specialized Collections Specialist to investigate, root-cause, and resolve complex, high-dollar Accounts Receivable (AR) issues across their commercial patient accounts. This role is essential to maximizing cash collection and retention. You will navigate ambiguous, non-linear workflows to investigate the root causes of underlying billing issues rather than relying on a rigid, step-by-step workbook. Success in this role is driven by touch efficiency and strategic account resolution over simple activity volume.

 

What You Will Do

• Portfolio Management: Manage and work high-dollar, complex AR accounts and non-government credit/debit portfolios to retain or pursue payments.
• Root-Cause Investigation: Proactively contact employer groups and insurance payers to identify and resolve underlying billing issues, including Coordination of Benefits (COB) and eligibility discrepancies.
• Credit & Debit Review: Analyze debits to pursue outstanding balances and thoroughly review credits to ensure the retention of correct payments.
• Targeted Resolution: Execute targeted account touches that lead directly to claim resolution rather than basic, repetitive claim touches.
• Data-Driven Workflow: Manage work allocation based on portfolios rather than direct claim-by-claim assignments. You will utilize Excel spreadsheets (e.g., Aligned Scope, payer-specific correspondence lists) to pivot through data, tag opportunities, and work claims efficiently.
• Navigate Proprietary Systems: Utilize internal systems including Nautilus (accounting & billing), Reggie (patient registration), and Nova (incoming AI workflow tool) to manage accounts.

 

What You Bring

Required Skills & Competencies:

• Revenue Cycle Knowledge: Experience with insurance payers, Coordination of Benefits (COB), and general collections.  
• Tech-Savviness: Strong proficiency in Excel (including pivoting and filtering data) and the ability to quickly learn proprietary software systems.
• Critical Thinking & Problem-Solving: Ability to navigate ambiguous workflows and independently investigate root causes without requiring a rigid playbook.
• Adaptability & Learning Agility: Capable of handling shifting portfolio priorities and adapting to upcoming system updates and technological changes anticipated over the next 18 months.
• Resourcefulness: Willingness and confidence to make proactive outreach calls to employer groups and insurance payers to resolve stuck accounts.

Preferred Qualifications:

• Prior experience in account resolution.
• Specific experience handling credit and debt portfolios.
• Extensive Healthcare Accounts Receivable (AR) experience.

Performance Expectations & Work Environment

• Performance Targets: Primary goal is ~$400,000 resolved per month. This is tracked as a lag metric over several months, with evaluations heavily focused on account resolution and touch efficiency rather than simple activity volume (MPIs/patient touches).
• Work Schedule (Hybrid):
• Month 1: 1–2 days for setup and online training, followed by 2–3 consecutive days on-site for intensive hands-on training. Remaining days are remote.
• Month 2 and beyond: Approximately 3 on-site days per month for hands-on check-ins and team collaboration, with the remaining days worked remotely.

Compliance Requirements

All offers are contingent upon the successful completion of the following pre-employment checks:

• Background Check: Includes verification of education completion (diploma, GED, or degree) and past employment verification.
• Drug Screen: Mandatory screening (Note: marijuana is included in the testing panel).

 

^*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

^*As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.