AR Recovery/Healthcare Denials Specialist

FinThrive; United States; On-site; USD 50,000 - 90,000; Full time

Job summary

Join a dynamic team at a forward-thinking company dedicated to advancing the healthcare economy. As a Healthcare Denials Specialist, you'll leverage cutting-edge ARO technology to analyze and resolve complex insurance denials, ensuring that hospitals receive the reimbursements they deserve. This role offers the chance to mentor junior representatives while working in a collaborative environment that values integrity and customer-centricity. With opportunities for career growth in healthcare finance and revenue cycle management, this is your chance to make a real impact and enhance your professional journey.

Benefits

Career growth opportunities

Competitive salary

Supportive team culture

Innovative team environment

Qualifications

• 3+ years of experience in healthcare billing and collections.
• Deep knowledge of payer rules and denial reasons.
• Ability to resolve complex denial issues.

Responsibilities

• Investigate and resolve insurance denials and underpayments.
• Analyze contracts and billing for accurate reimbursement.
• Create appeals and maintain HIPAA compliance.

Skills

Healthcare insurance billing

Insurance denials resolution

Analytical skills

Communication skills

Problem-solving skills

Education

Associate degree

Bachelor's degree

Tools

EPIC

Paragon

Zirmed

Microsoft Excel

Microsoft Word

Job description

AR Recovery/Healthcare Denials Specialist

United States

Job Description

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

1. Investigate and resolve insurance denials and underpayments
2. Call healthcare insurance companies, affiliates, and providers to resolve underpayment or denial issues
3. Analyze contracts, billing, and collections to ensure accurate reimbursement
4. Work closely with leadership and team members to identify denial trends and process improvements
5. Create appeals, patient correspondences, and payer communication to support claim resolutions
6. 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 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 familiarization with FinThrive’s Code of Ethics, attending training as required, notifying management or FinThrive’s Helpline of compliance concerns or incidents, HIPAA-compliant handling of patient information, and maintaining 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 are committed to providing reasonable accommodations for qualified applicants with disabilities in our job application and recruitment process.