FinThrive · 3 months ago
AR Recovery/Healthcare Denials Specialist (On-site Plano, TX)
Plano, TX
Full-time
Onsite
Mid Level
3+ years expFinThrive is advancing the healthcare economy and is seeking an experienced Healthcare Denials Specialist to join their team. In this role, you will analyze and resolve payer denials and underpayments, mentor junior representatives, and ensure accurate reimbursement for hospitals.
BillingConsultingHealth Care
Responsibilities
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
Qualification
Required
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
Preferred
Medicaid, Medicare, and Commercial billing experience
Associate or Bachelor's degree
Benefits
Competitive salary, benefits, and a supportive team culture
Company
FinThrive
FinThrive is a revenue management company that provides medical billing and coding services.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Brad Rennick
Chief Customer Officer
Recent News
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