Senior Healthcare Denials and AR Recovery Specialist

FinThrive; Plano (TX); On-site; USD 60,000 - 80,000; Full time

Job summary

FinThrive is hiring a Healthcare Denials Specialist II to analyze and resolve payer denials and underpayments for hospital billing. You will mentor junior representatives and use Rubixis AR Follow Up software to manage accounts from start to finish, ensuring timely, accurate resolutions.

The role requires 5+ years in hospital billing, Medicare rule knowledge, and strong Excel skills. A hybrid environment is possible with exposure to Epic, Paragon, and Zirmed systems as part of revenue cycle

Qualifications

• 5+ years hospital billing with follow-up experience.
• Advanced knowledge of payer types and denial reasons.
• Experience submitting Medicare appeals and using Medicare portals.
• Proficiency with UB-04Follow-Up processes and pricing/reimbursement variances.
• Strong Excel skills and data-driven problem solving.

Responsibilities

• Learn and navigate the Rubixis AR Follow Up software and resources.
• Handle a assigned accounts from start to finish in a timely manner.
• Contact health care payers to resolve contract or payment issues.
• Analyze contracts, billing, pricing, and collections in compliance with regulations.
• Investigate insurance payments that deviate from expectations and collaborate with leadership.

Skills

Hospital Billing

Denials Resolution

Analytical Skills

Communication Skills

Medicare Knowledge

MS Excel

Education

Bachelor's or Associate Degree

Tools

Medicare Direct Data Entry (DDE)

EPIC

Paragon

Zirmed

Job description

FinThrive is hiring a Healthcare Denials Specialist II to analyze and resolve payer denials and underpayments for hospital billing. You will mentor junior representatives and use Rubixis AR Follow Up software to manage accounts from start to finish, ensuring timely, accurate resolutions.

The role requires 5+ years in hospital billing, Medicare rule knowledge, and strong Excel skills. A hybrid environment is possible with exposure to Epic, Paragon, and Zirmed systems as part of revenue cycle