Accounting Assistant II

Posted Friday, February 20, 2026 at 8:00 AM

Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track record of generating the very best outcomes for patients, payers, and providers. Deep clinical expertise is the foundation for every part of Paradigm’s business: risk-based clinical solutions, case management, specialty networks, home health, shared decision support, and payment integrity programs.

We’re proud to be recognized—again! For the fourth year in a row, we’ve been certified by Great Place to Work®, and for the third consecutive year, we’ve earned a spot on Fortune's Best Workplaces in Health Care™ list . These honors reflect our unwavering commitment to fostering a positive, inclusive, and employee-centric culture where people thrive.

Watch this short video for a brief introduction to Paradigm.

The Accounting Assistant II is responsible for managing accounts receivable activities for our most complex and high-profile accounts. Responsible for the timely and accurate completion of cash applications to ensure accounts payable-related activities are maintained effectively. In addition, responsible for timely and accurate review of all client payments, leading to refund requests and creation of refunds, as well as vendor reconciliation and reconciliation of payment files.

Creates and maintains reports as necessary and serves as a liaison to departments to meet the demands for the month-end processes.

• Support cash applications in all systems (Adva Pro, Care Link/Net Suite, Fusion, eFusion, and Oracle) to maintain high accuracy and timeliness.
• Handle over payment journal entries and work the over payment sheet from the cash application side, ensuring refunds are lined up appropriately in the Home Care Connect (HCC) System.
• Assist with Audit requirements for cash application-pulling EORs and other documentation needed within a 24-48 period of request.
• Minimize newly created unapplied cash through proactive identification and resolution. Ensure 85% of new items are worked on and resolved within the week of receipt.
• Review Account Receivable discrepancies to include over payments, short payments, and denials.
• Enter and review credits and adjustments in the appropriate system for a valid reason.
• Access remittances to review and determine the reason and handle according to the process and policy.
• Evaluate and recommend process improvements to increase efficiency in applying and reconciling daily and monthly cash flow.
• Create documentation of short payment/denial for review and handling.
• Maintain correspondence received from clients and providers for proper handling.
• Thoroughly review open accounts and any issues before contacting the client.
• Provide excellent customer service regarding payment issues or trends, review and resolve discrepancies and identify short payments.
• Responsible for monitoring and maintaining high-profile accounts; customer calls, emails, and open AR reporting, account adjustment recommendations.
• Work closely with the departmental management as well as other internal departments when

necessary to resolve aged accounts.

• Weekly and monthly reporting to the direct supervisor.
• Work closely with management in creating trend reports.
• Assist the supervisor in creating/updating departmental policies.
• Maintain confidentiality and integrity of PHI in line with HIPAA and internal Privacy and Information Security policies.
• Responsible for complying with Paradigm IT security requirements and policies.
• Responsible for safeguarding Paradigm or Paradigm-related IT passwords.

• An Associate Degree in Business or equivalent, and minimum of five years of proven success in Finance or Collections.
• Medical Billing experience including reasons for denial, fee schedules, etc.
• Accounts Receivable experience required.
• Understanding of Accounts Receivable and Collections, in a business-to-business environment.
• Analytical/Problem Solving Skills.
• Data Entry Skills
• Knowledge of Billing and Collection…