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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!
