Collections Specialist

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.

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.

• 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

• 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

• 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…