FinThrive
AR Recovery/Healthcare Denials Specialist (On-site Plano, TX)
FinThrive, Plano, Texas, us, 75086
About the Role
Impact you will make
Are you an expert in healthcare insurance reimbursement? Do you thrive on solving complex insurance denials and underpayments? Join our team and play a vital role in ensuring hospitals receive the reimbursements they deserve.
We're looking for an experienced
Healthcare Denials Specialist
to analyze and resolve payer denials and underpayments. You'll be part of a dynamic team using
cutting-edge ARO software
to streamline medical claims and collections. As a Denials Specialist II, you will also have the opportunity to mentor junior representatives.
What you will do
Investigate and resolve
insurance denials and underpayments
Call healthcare
insurance companies, affiliates, and providers
to resolve underpayment or denial issues
Analyze contracts, billing, and collections to ensure
accurate reimbursement
Work closely with leadership and team members to identify
denial trends and process improvements
Create
appeals, patient correspondences, and payer communication
to support claim resolutions
Maintain
HIPAA compliance
and accurately document all work performed
What you will bring
3+ years
of proven success with healthcare insurance billing, follow-up, reimbursement and collections in a hospital or BPO vendor environment
Deep knowledge of payer rules
, including how to interpret denial reasons and submit appeals
Experience with
healthcare billing/EHR systems
(EPIC, Paragon, Zirmed, or similar)
Strong understanding of medical terminology including
claim types
( UB-04), CPT, ICD, DRG codes, and EOB/RA
Ability to identify and resolve complex
denials and underpayment issues
Excellent communication skills
both written and verbal
Strong
problem-solving and analytical skills
to assess insurance payment discrepancies
Proficiency in
Microsoft Excel and Word
This role requires on-site work at FinThrive's Plano, TX office
What we would like to see
Medicaid, Medicare, and Commercial billing experience
Associate or Bachelor's degree
Why Join Us?
Work with an
innovative team
using
advanced ARO technology
to improve medical billing efficiency
Career growth opportunities in
healthcare finance and revenue cycle management
Competitive salary, benefits, and a supportive team culture
Apply now
to make a real impact with FinThrive!
About FinThrive
FinThrive is advancing the healthcare economy. For the most recent information on FinThrive's vision for healthcare revenue management visit
finthrive.com/why-finthrive .
Award-winning Culture of Customer-centricity and Reliability
At FinThrive we're proud of our agile and committed culture, which makes FinThrive an exceptional place to work. Explore our latest workplace recognitions at
https://finthrive.com/careers#culture .
Our Perks and Benefits
FinThrive is committed to continually enhancing the colleague experience by actively seeking new perks and benefits. For the most up-to-date offerings visit
finthrive.com/careers-benefits .
FinThrive's Core Values and Expectations
Demonstrate integrity and ethics in day-to-day tasks
and decision making, adhere to FinThrive's core values of being Customer-Centric, Agile, Reliable and Engaged, operate effectively in the FinThrive environment and the environment of the work group, maintain a focus on self-development and seek out continuous feedback and learning opportunities
Support FinThrive's
Compliance Program by adhering to policies and procedures pertaining to HIPAA,
FCRA, GLBA and other laws applicable to FinThrive's business practices; this
includes becoming familiar with FinThrive's Code of Ethics, attending training
as required, notifying management or FinThrive's Helpline when there is a
compliance concern or incident, HIPAA-compliant handling of patient
information, and demonstrable awareness of confidentiality obligations
Physical Demands The physical demands and work environment
characteristics
described here
are representative of
those that a colleague must meet to successfully perform the essential
functions of this job. Reasonable accommodations may be made to enable
individuals with disabilities to perform the essential functions.
Statement of EEO FinThrive values diversity and belonging and is proud to be an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're committed to providing reasonable accommodation for qualified applicants with disabilities in our job application and recruitment process.
FinThrive Privacy Notice for California Resident Job Candidates
Know Your Rights Pay Transparency Notice
FinThrive is an Equal Opportunity Employer and ensures its employment decisions
comply with principles embodied in Title VII, the Age Discrimination in
Employment Act, the Rehabilitation Act of 1973, the Vietnam Veterans
Readjustment Assistance Act of 1974, Executive Order 11246, Revised Order
Number 4, and applicable state regulations. 2024 FinThrive. All rights reserved. The FinThrive name, products,
associated trademarks and logos are owned by FinThrive or related entities. RV092724TJO
finthrive.com
|
FinThrive Careers
|
FinThrive Benefits & Perks
|
Physical Demands
#J-18808-Ljbffr
Impact you will make
Are you an expert in healthcare insurance reimbursement? Do you thrive on solving complex insurance denials and underpayments? Join our team and play a vital role in ensuring hospitals receive the reimbursements they deserve.
We're looking for an experienced
Healthcare Denials Specialist
to analyze and resolve payer denials and underpayments. You'll be part of a dynamic team using
cutting-edge ARO software
to streamline medical claims and collections. As a Denials Specialist II, you will also have the opportunity to mentor junior representatives.
What you will do
Investigate and resolve
insurance denials and underpayments
Call healthcare
insurance companies, affiliates, and providers
to resolve underpayment or denial issues
Analyze contracts, billing, and collections to ensure
accurate reimbursement
Work closely with leadership and team members to identify
denial trends and process improvements
Create
appeals, patient correspondences, and payer communication
to support claim resolutions
Maintain
HIPAA compliance
and accurately document all work performed
What you will bring
3+ years
of proven success with healthcare insurance billing, follow-up, reimbursement and collections in a hospital or BPO vendor environment
Deep knowledge of payer rules
, including how to interpret denial reasons and submit appeals
Experience with
healthcare billing/EHR systems
(EPIC, Paragon, Zirmed, or similar)
Strong understanding of medical terminology including
claim types
( UB-04), CPT, ICD, DRG codes, and EOB/RA
Ability to identify and resolve complex
denials and underpayment issues
Excellent communication skills
both written and verbal
Strong
problem-solving and analytical skills
to assess insurance payment discrepancies
Proficiency in
Microsoft Excel and Word
This role requires on-site work at FinThrive's Plano, TX office
What we would like to see
Medicaid, Medicare, and Commercial billing experience
Associate or Bachelor's degree
Why Join Us?
Work with an
innovative team
using
advanced ARO technology
to improve medical billing efficiency
Career growth opportunities in
healthcare finance and revenue cycle management
Competitive salary, benefits, and a supportive team culture
Apply now
to make a real impact with FinThrive!
About FinThrive
FinThrive is advancing the healthcare economy. For the most recent information on FinThrive's vision for healthcare revenue management visit
finthrive.com/why-finthrive .
Award-winning Culture of Customer-centricity and Reliability
At FinThrive we're proud of our agile and committed culture, which makes FinThrive an exceptional place to work. Explore our latest workplace recognitions at
https://finthrive.com/careers#culture .
Our Perks and Benefits
FinThrive is committed to continually enhancing the colleague experience by actively seeking new perks and benefits. For the most up-to-date offerings visit
finthrive.com/careers-benefits .
FinThrive's Core Values and Expectations
Demonstrate integrity and ethics in day-to-day tasks
and decision making, adhere to FinThrive's core values of being Customer-Centric, Agile, Reliable and Engaged, operate effectively in the FinThrive environment and the environment of the work group, maintain a focus on self-development and seek out continuous feedback and learning opportunities
Support FinThrive's
Compliance Program by adhering to policies and procedures pertaining to HIPAA,
FCRA, GLBA and other laws applicable to FinThrive's business practices; this
includes becoming familiar with FinThrive's Code of Ethics, attending training
as required, notifying management or FinThrive's Helpline when there is a
compliance concern or incident, HIPAA-compliant handling of patient
information, and demonstrable awareness of confidentiality obligations
Physical Demands The physical demands and work environment
characteristics
described here
are representative of
those that a colleague must meet to successfully perform the essential
functions of this job. Reasonable accommodations may be made to enable
individuals with disabilities to perform the essential functions.
Statement of EEO FinThrive values diversity and belonging and is proud to be an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're committed to providing reasonable accommodation for qualified applicants with disabilities in our job application and recruitment process.
FinThrive Privacy Notice for California Resident Job Candidates
Know Your Rights Pay Transparency Notice
FinThrive is an Equal Opportunity Employer and ensures its employment decisions
comply with principles embodied in Title VII, the Age Discrimination in
Employment Act, the Rehabilitation Act of 1973, the Vietnam Veterans
Readjustment Assistance Act of 1974, Executive Order 11246, Revised Order
Number 4, and applicable state regulations. 2024 FinThrive. All rights reserved. The FinThrive name, products,
associated trademarks and logos are owned by FinThrive or related entities. RV092724TJO
finthrive.com
|
FinThrive Careers
|
FinThrive Benefits & Perks
|
Physical Demands
#J-18808-Ljbffr