AR Recovery/Healthcare Denials Specialist (On-site Plano, TX)

FinThrive; Plano (TX); On-site; USD 60,000 - 85,000; Full time

Job summary

A leading healthcare organization is seeking a Healthcare Denials Specialist in Plano, TX to resolve insurance denials and underpayments, mentor junior staff, and utilize advanced technology to streamline processes. Candidates should have extensive experience in healthcare billing and excellent communication skills.

Benefits

Competitive salary

Benefits package

Career growth opportunities

Supportive team culture

Qualifications

• 3+ years experience in healthcare insurance billing and reimbursement.
• Deep knowledge of healthcare payer rules and denial management.
• Strong understanding of medical terminology and coding.

Responsibilities

• Investigate and resolve insurance denials and underpayments.
• Call insurance companies to address denial issues.
• Create appeals and maintain HIPAA compliance.

Skills

Problem-solving

Analytical skills

Communication skills

Education

Associate or Bachelor's degree

Tools

Microsoft Excel

Microsoft Word

Healthcare billing/EHR systems

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

• 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


• This role requires on-site work 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!

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.

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