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!
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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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!
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.
#J-18808-Ljbffr