Revenue Cycle Collector
About this role
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 escalate 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 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
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
Originally posted on Himalayas