FinThrive Revenue Systems, LLC
AR Recovery/Healthcare Denials Specialist (On-site Plano, TX)
FinThrive Revenue Systems, LLC, Granite Heights, Wisconsin, United States
AR Recovery/Healthcare Denials Specialist (On-site Plano, TX)
Plano, TX, USA Job Description
Posted Wednesday, August 20, 2025 at 4:00 AM 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.
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Plano, TX, USA Job Description
Posted Wednesday, August 20, 2025 at 4:00 AM 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.
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