Remote

AR Recovery/Healthcare Denials Specialist

FinThrive
United States
Apr 18, 2025
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 Travel: None required 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. FinThrive Privacy Notice for California Resident Job Candidates Know Your Rights Pay Transparency Notice FinThrive is an Equal Opportunity Employer and ensures its employment decisions comply with principles embodied in Title VII, the Age Discrimination in Employment Act, the Rehabilitation Act of 1973, the Vietnam Veterans Readjustment Assistance Act of 1974, Executive Order 11246, Revised Order Number 4, and applicable state regulations. 2024 FinThrive. All rights reserved. The FinThrive name, products, associated trademarks and logos are owned by FinThrive or related entities. RV092724TJO finthrive.com \| FinThrive Careers \| FinThrive Benefits & Perks \| Physical Demands