Director of Customer Financial Services

Location

In-person (North Miami, FL)

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

We are seeking a results-driven Director of Customer Financial Services to lead our Collections team in managing rejected and denied medical claims, ensuring timely payment posting, and maximizing revenue recovery. This individual will oversee claim resolution processes, drive efficiency, and implement strategies to achieve key performance indicators (KPIs) while fostering a culture of accuracy and continuous improvement. This position reports to the VP of Operations.

Core Responsibilities

• Lead and cultivate a collaborative and high-performing team culture through ongoing coaching and support
• Set performance goals and mentor team members to achieve individual and team KPIs
• Monitor rejected and denied claims to ensure timely resolution and resubmission to third-party payers
• Design and implement strategies to reduce the claims rejection rate and improve the first-pass resolution rate
• Oversee the accurate and efficient posting of payments to patient accounts, maintaining alignment with financial records
• Conduct root cause analysis to identify trends in claim denials and rejections, developing actionable plans to address issues
• Collaborate with other departments to streamline processes and implement improvements
• Develop policies and training programs to reduce errors and optimize workflows.
• Ensure compliance with all payer guidelines, regulatory requirements, and industry best practices
• Maintain a high accuracy rate in claim corrections and payment postings
• Provide insights and recommendations to leadership based on trends and data analysis to inform broader organizational initiatives

Experience and Skills

• Minimum of 7 years of experience in healthcare collections, revenue cycle management, or a related role
• Minimum of 3 years in a leadership capacity with a strong ability to motivate and develop teams
• Deep understanding of medical billing, coding, payment posting, and claims management processes
• Proven ability to analyze data, drive process improvements, and achieve measurable results
• Strong leadership, communication, and organizational skills
• Familiarity with healthcare payer regulations and compliance requirements
• Proficiency in medical billing software and EHR systems
• Expertise in claim resolution processes and payer regulations
• Excellent analytical, problem-solving, and communication skills
• Proficiency in MS Office Suite (Outlook, Word, Excel) required

Education and Qualifications

• Bachelor's degree in Business, Healthcare Administration, Finance, or a related field (Master's preferred)

What We Offer

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

Compensation

Starting at $80,000 depending on experience