Collections Specialist

New South Medical; Sandy Springs (GA); On-site; USD 60,000 - 80,000; Full time

Job summary

New South Medical is seeking a Collections & Negotiation Specialist to own the collections, reductions, and negotiation process on personal injury claims. You will be the primary point of contact between New South Medical and law firms on outstanding balances, advocating for timely payments and favorable settlements.

You will manage a full portfolio, track outcomes, maintain records, and work with Revenue Cycle, accounting, and legal partners to maximize recovery while ensuring HIPAA compliant

Qualifications

• 2+ years of experience in medical collections, lien negotiation, accounts receivable, or healthcare finance
• Demonstrated experience negotiating balance reductions or settlements, ideally within a personal injury or lien-based billing environment
• Strong understanding of the personal injury claims lifecycle, including how law firms and case resolution timelines affect payment
• Excellent negotiation skills — persistent, persuasive, and comfortable with pushback
• High attention to detail and accuracy in tracking accounts, agreements, and documentation
• Strong written and verbal communication skills for coordinating with law firms, accounting, and internal teams
• Proficiency with Microsoft 365, Excel, and the ability to learn internal case or billing systems quickly
• Ability to manage a full portfolio of accounts independently in a fast-paced, deadline-driven environment
• Knowledge of HIPAA regulations and handling of sensitive patient and financial information
• Ability to work on-site full-time

Responsibilities

• Own the full collections pipeline for assigned accounts, from initial balance identification through final resolution and payment
• Proactively follow up with law firms, insurance companies, and other payors to move accounts toward resolution
• Monitor aging buckets and prioritize outreach on accounts by aging category, escalating stalled or at-risk accounts as needed
• Negotiate balance reductions directly with law firms, adjusters, and other responsible parties to maximize recovery while reaching mutually agreeable settlement terms
• Prepare and present justification for reduction requests, including documentation of billed charges, treatment records, and case specifics
• Determine acceptable reduction thresholds in coordination with leadership and secure sign-off on negotiated terms
• Maintain a firm, persistent, and professional negotiation style, particularly on aged or disputed balances
• Maintain accurate, up-to-date records of all negotiations, agreements, correspondence, and payment status in the case management/billing system
• Update case statuses and reconcile agreed-upon balances with the accounting team
• Track the A/R pipeline daily, ensuring paid funds are recorded and applied accurately
• Coordinate a smooth handoff between negotiation/resolution and final payment tracking
• Prepare and submit regular reports summarizing collections activity, negotiated reductions, aging trends, and outstanding balances
• Flag recurring issues or problem accounts to leadership, along with recommended next steps
• Work closely with the Revenue Cycle Manager, billers/coders, and accounting to ensure consistency between billed amounts, negotiated reductions, and posted payments
• Serve as a key point of contact for law firm partners regarding balance status and negotiation terms

Skills

Negotiation

Medical collections

Accounts receivable

Healthcare finance

HIPAA compliance

Microsoft 365

Excel

On-site work

Tools

Case management system

Billing software

Microsoft 365

Job description

At New South Medical, we are committed to delivering immediate, compassionate, and expert care to individuals involved in personal injury cases. Our mission is to relieve our patients' pain and financial burdens by ensuring they receive the medical attention they need while maintaining efficient financial processes on the backend.

We are a fast-growing company with a collaborative team culture, modern technology, and a strong focus on patient outcomes and operational excellence.

Position Overview

We are seeking a Collections & Negotiation Specialist to own the collections, reduction, and negotiation process on personal injury claims. This individual will be the primary point of contact between New South Medical and law firms on outstanding balances, responsible for securing timely payment while negotiating favorable balance reductions on behalf of the company. The ideal candidate is an assertive, detail-oriented negotiator who is comfortable spending significant time on the phone advocating for reduced balances and driving cases to resolution.

This position requires a professional who can manage a full portfolio of accounts, track negotiation outcomes, and maintain accurate records while working closely with the Revenue Cycle Manager, accounting, and legal partners.

Responsibilities

Collections & Ownership

• Own the full collections pipeline for assigned accounts, from initial balance identification through final resolution and payment
• Proactively follow up with law firms, insurance companies, and other payors to move accounts toward resolution
• Monitor aging buckets and prioritize outreach on accounts by aging category, escalating stalled or at-risk accounts as needed

Reduction & Negotiation

• Negotiate balance reductions directly with law firms, adjusters, and other responsible parties to maximize recovery while reaching mutually agreeable settlement terms
• Prepare and present justification for reduction requests, including documentation of billed charges, treatment records, and case specifics
• Determine acceptable reduction thresholds in coordination with leadership and secure sign-off on negotiated terms
• Maintain a firm, persistent, and professional negotiation style, particularly on aged or disputed balances

Case & Account Management

• Maintain accurate, up-to-date records of all negotiations, agreements, correspondence, and payment status in the case management/billing system
• Update case statuses and reconcile agreed-upon balances with the accounting team
• Track the A/R pipeline daily, ensuring paid funds are recorded and applied accurately
• Coordinate a smooth handoff between negotiation/resolution and final payment tracking

Reporting

• Prepare and submit regular reports summarizing collections activity, negotiated reductions, aging trends, and outstanding balances
• Flag recurring issues or problem accounts to leadership, along with recommended next steps
• Work closely with the Revenue Cycle Manager, billers/coders, and accounting to ensure consistency between billed amounts, negotiated reductions, and posted payments
• Serve as a key point of contact for law firm partners regarding balance status and negotiation terms

Compliance and Confidentiality

• Ensure all financial and patient data is handled in accordance with HIPAA and company compliance standards
• Maintain professionalism and confidentiality in all communications with law firms, patients, and internal teams

Requirements

• 2+ years of experience in medical collections, lien negotiation, accounts receivable, or healthcare finance (required)
• Demonstrated experience negotiating balance reductions or settlements, ideally within a personal injury or lien-based billing environment
• Strong understanding of the personal injury claims lifecycle, including how law firms and case resolution timelines affect payment
• Excellent negotiation skills — persistent, persuasive, and comfortable with pushback
• High attention to detail and accuracy in tracking accounts, agreements, and documentation
• Strong written and verbal communication skills for coordinating with law firms, accounting, and internal teams
• Proficiency with Microsoft 365, Excel, and the ability to learn internal case or billing systems quickly
• Ability to manage a full portfolio of accounts independently in a fast-paced, deadline-driven environment
• Knowledge of HIPAA regulations and handling of sensitive patient and financial information
• Ability to work on-site full-time

Experience

• Medical collections, lien negotiation, or healthcare finance: 2 years (Required)
• Negotiating settlements/reductions: (Required)
• Personal injury/law firm billing environment: (Preferred)

Why You'll Love Working With Us

• A growing company with opportunities to advance your career
• Collaborative and mission-driven team focused on patient outcomes
• A modern work environment that values initiative and accountability
• A unique role at the intersection of legal and healthcare, helping patients get the care they deserve
• Direct ownership over a book of business, with real influence over negotiation outcomes and account resolution
• The satisfaction of bringing closure to cases while maximizing recovery for the organization