Revenue Cycle Collector

Local Infusion; Nashville (TN); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

Disability coverage

401(k) with employer match

15 Days PTO

Parental leave and flexible return to

Job summary

Local Infusion is seeking a seasoned healthcare collector to manage a high-volume insurance receivables portfolio. The ideal candidate will identify root causes of non-payment, determine recovery pathways, and drive accounts toward payment with payer-specific processes.

You will own end-to-end AR, research denials, and collaborate with Billing, Authorization, Intake and RCM leadership. Strong analytical skills, documentation discipline, and experience with infusion billing are highly valued.

Qualifications

• 3+ years of healthcare insurance collections or AR follow-up experience.
• Experience managing aged and high-dollar accounts receivable.
• Strong working knowledge of commercial and government payer processes.
• Experience resolving denials, underpayments, authorization issues, and claim-processing errors.
• 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.
• 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 elevate 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.

Skills

Healthcare collections

Aged AR management

Payer processes

Denials resolution

Analytical skills

Documentation discipline

Inventory prioritization

Job description

We are Local Infusion.

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.

What We're Looking For

We're looking for a seasoned healthcare collector with the experience and judgment to effectively manage complex, aged, and high-dollar insurance receivables. The ideal candidate can independently manage a high-volume portfolio, identify the root cause of non-payment, determine the appropriate recovery pathway, and elevate accounts appropriately using established payer and industry-standard processes. We're looking for someone who takes end-to-end ownership of assigned revenue, understands how to navigate payer barriers, and consistently moves accounts toward payment or final resolution.

What You'll Own

• 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 elevate 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

What Success Looks Like

The successful collector demonstrates consistent ownership of assigned accounts and applies sound judgment to move claims toward timely resolution. This includes:

• Conducting thorough claim research to identify the root cause of non-payment or underpayment

• Selecting the appropriate resolution pathway based on payer requirements, claim status, and established escalation protocols

• Maintaining complete, concise, and actionable documentation of findings, actions taken, payer responses, and next steps

• Establishing appropriate follow-up timelines and maintaining consistent ownership through payment or final disposition

• Recognizing when standard collection activity is no longer effective and initiating the appropriate reconsideration, appeal, payer escalation, or internal escalation

• Identifying recurring payer or process trends and escalating systemic issues for broader resolution

• Balancing productivity, quality, and financial impact while meeting established performance expectations

• Demonstrating measurable contribution to aged AR reduction, cash recovery, and inventory resolution

What You Bring

• 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

• Experience with infusion or specialty medication billing and collections strongly preferred

How We Measure Success

Success in this role is measured by both productivity and outcomes. Key performance indicators include meaningful claim activity, documentation quality, adherence to follow-up expectations, aged AR reduction, cash recovery, and inventory resolution. Collectors are expected to maintain ownership of assigned accounts from initial assignment through payment or final disposition, while consistently meeting established productivity and quality expectations.

The Local Infusion Way

Local Infusion is a respectful upbeat team united by our mission of shaping the way specialty infusion care is delivered. We are highly ambitious but understand that in order to do a great job, we have to take care of ourselves; we expect that you will have time and energy devoted to your families, friends and hobbies.

As part of our team, full-time employees get:

• Medical, dental, and vision insurance through our employer plan

• Short and long-term disability coverage

• 401(k) — as an early-stage startup, and we match!

• 15 Days PTO — and we want you to take it!

• Competitive paid parental leave and flexible return to work policy.

• We invest in your career. Our company is growing quickly, and we'll give you the opportunity to do the same. You'll have access to a number of professional development opportunities so that you can keep up with the company's evolving needs and grow your career along the way.

We don’t discriminate—Local Infusion is an Equal Employment Opportunity (EEO) Employer. We fundamentally believe that a more diverse and inclusive team leads to a stronger company more able to achieve our vision.

What It's Like to Work at Local Infusion