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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.

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

3-5+ 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 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!

FinThrive

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Healthcare denials specialist