Collections Manager - Healthcare/RCM

Location Miami, FL (On-site, Monday-Friday)

Who We Are At Paradigm, we're revolutionizing home care through innovative technology. As the fastest-growing tech company in this sector, we empower home care agencies with cutting-edge solutions in billing automation, growth education, authorization management, and beyond. We believe that by streamlining agency operations with third-party payers like the Department of Veterans Affairs and Medicaid, we ultimately enhance the quality of care for seniors, veterans, and underserved communities. We foster a dynamic and collaborative work environment where new ideas are welcome, and creativity thrives. Joining our team means becoming part of a supportive community that values continuous learning and excellence. We're on a mission to revolutionize home care and are looking for passionate individuals to help us make a lasting, positive impact.

Position Snapshot

The Collections Manager is responsible for leading and overseeing the daily operations of the collections department to maximize reimbursement, reduce accounts receivable (A/R), and ensure timely resolution of outstanding insurance and patient balances. This role provides leadership, coaching, and performance management to the collections team while collaborating with internal departments and external stakeholders to improve revenue cycle performance. The Collections Manager is accountable for achieving departmental goals, maintaining compliance with payer and regulatory requirements, and driving operational excellence through process improvement and staff development. This position reports to the Senior Director of Collections.

Core Responsibilities

• Lead, manage, and develop the collections team to ensure achievement of departmental productivity, quality, and financial goals
• Monitor and manage accounts receivable aging, denial trends, payer follow-up, and collection activities to maximize reimbursement and reduce outstanding balances
• Establish performance expectations, monitor key performance indicators (KPIs), and conduct regular coaching, performance reviews, and corrective action when necessary
• Analyze collection metrics, denial data, and payer trends to identify opportunities for process improvement and increased cash collections
• Develop and implement collection strategies that improve recovery rates while maintaining compliance with payer, client, and regulatory requirements
• Oversee escalation of complex payer issues, appeals, underpayments, and unresolved claims
• Ensure team adherence to company policies, HIPAA regulations, payer guidelines, and revenue cycle best practices
• Collaborate with Billing, Credentialing, Client Success, Payment Posting, Revenue Integrity, and Executive Leadership to resolve operational issues affecting reimbursement
• Develop, maintain, and update departmental workflows, standard operating procedures, and training materials
• Conduct regular quality audits to ensure accuracy, consistency, and compliance within collection activities
• Prepare and present performance reports, operational updates, and collection trends to senior leadership
• Participate in client meetings as needed to discuss collection performance and identify improvement opportunities
• Assist with implementation of new clients, systems, payer initiatives, and process improvements
• Support organizational initiatives that improve efficiency, automation, employee engagement, and overall revenue cycle performance
• Perform other duties as assigned

Experience and Skills

• Minimum 5 years of progressive experience in medical billing, insurance collections, or revenue cycle management required
• Minimum 3 years of management or supervisory experience leading healthcare collections teams required
• Extensive knowledge of healthcare revenue cycle processes, including insurance follow-up, denial management, appeals, payment reconciliation, and accounts receivable management
• Strong understanding of commercial insurance, Medicare, Medicaid, Workers' Compensation, Managed Care, and government payer guidelines
• Experience analyzing collection metrics, KPIs, productivity reports, and financial performance data
• Demonstrated ability to lead teams through change while improving productivity, employee engagement, and operational performance
• Strong coaching, mentoring, conflict resolution, and employee development skills.
• Excellent analytical, organizational, and problem-solving abilities
• Ability to prioritize multiple projects and meet deadlines in a fast-paced environment.
• Strong verbal and written communication skills with the ability to communicate effectively across all organizational levels
• Experience utilizing electronic health records (EHR), practice management systems, clearinghouses, and revenue cycle software
• Knowledge of HIPAA, healthcare compliance regulations, and payer contractual requirements is required
• Healthcare industry experience required; Home Health billing experience preferred
• Experience with reporting tools and Microsoft Excel for data analysis preferred
• Proficiency in MS Office Suite (Outlook, Word, Excel) required

Education and Qualifications

• Bachelor's degree in Business Administration, Healthcare Administration, Finance, or a related field required
• Demonstrated leadership experience managing healthcare collections or revenue cycle operations required
• An equivalent combination of education and relevant experience may be considered

What We Offer

• Medical, dental, and vision benefits
• 401k retirement plan
• Aflac benefits
• Paid time off
• Professional development support

Compensation $70,000-$80,000 depending on experience