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

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

FinThrivePlano, TX, United States
22 hours ago
Job type
  • Full-time
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.

    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

    Create a job alert for this search

    Ar Specialist • Plano, TX, United States

    Related jobs
    • Promoted
    • New!
    AR Recovery Analyst

    AR Recovery Analyst

    FinThrivePlano, TX, United States
    Full-time
    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 ...Show moreLast updated: 18 hours ago
    • Promoted
    Certified Surgical Tech CST Days

    Certified Surgical Tech CST Days

    Baylor Scott & White HealthMcKinney, TX, US
    Full-time
    Baylor Scott & White Medical Center - McKinney.Full Time Days, Monday, Wednesday, Friday, 6 : 30 AM-7 : 00 PM.Requires a min of 2 yrs CST experience . Here at Baylor Scott & White Health we...Show moreLast updated: 1 day ago
    • Promoted
    Flexible $ : Earn At Least $1865 For Your First 164 Trips, Guaranteed.

    Flexible $ : Earn At Least $1865 For Your First 164 Trips, Guaranteed.

    UberBlue Ridge, TX, United States
    Full-time +1
    Earn at least $1865 driving with Uber when you complete your first 164 trips in 30 days.Driving is an easy way to boost your income while maintaining the flexibility your schedule requires (gig, pa...Show moreLast updated: 7 days ago
    • Promoted
    Analyst, Audit and Recovery

    Analyst, Audit and Recovery

    Vizient, Inc.Irving, TX, United States
    Full-time
    When you're the best, we're the best.We instill an environment where employees feel engaged, satisfied and able to contribute their unique skills and talents. We provide extensive opportunities for ...Show moreLast updated: 30+ days ago
    • Promoted
    Denials & AR Operations Support I

    Denials & AR Operations Support I

    R1 RCMPlano, TX, US
    Full-time
    This is a HYBRID role : address for when in office is 5700 Granite Pkwy, Ste 910, Plano, TX 75024.R1 is the leading provider of technology-driven solutions that transform the patient experience and ...Show moreLast updated: 30+ days ago
    • Promoted
    Mgr., PFS Denials / Collections

    Mgr., PFS Denials / Collections

    Parkland Health and Hospital SystemDallas, TX, US
    Full-time
    Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland ...Show moreLast updated: 1 day ago
    • Promoted
    Drive with Uber - Earn at least $1865 in your first 164 trips with Uber.

    Drive with Uber - Earn at least $1865 in your first 164 trips with Uber.

    UberCeleste, TX, United States
    Full-time +1
    Earn at least $1865 driving with Uber when you complete your first 164 trips in 30 days.Driving is an easy way to boost your income while maintaining the flexibility your schedule requires (gig, pa...Show moreLast updated: 7 days ago
    • Promoted
    Earn At Least $1865 For Your First 164 Trips, Guaranteed.

    Earn At Least $1865 For Your First 164 Trips, Guaranteed.

    UberCeleste, TX, United States
    Full-time +1
    Earn at least $1865 driving with Uber when you complete your first 164 trips in 30 days.Driving is an easy way to boost your income while maintaining the flexibility your schedule requires (gig, pa...Show moreLast updated: 7 days ago
    • Promoted
    • New!
    Ambulatory RN - Infectious Diseases Clinic

    Ambulatory RN - Infectious Diseases Clinic

    UT SouthwesternDallas, TX, US
    Full-time
    Ambulatory RN, Infectious Disease .With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion.As a world-ren...Show moreLast updated: 6 hours ago
    • Promoted
    Mgr., PFS Denials / Collections

    Mgr., PFS Denials / Collections

    Parkland Health and Hospital System (PHHS)Dallas, TX, United States
    Full-time
    Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland ...Show moreLast updated: 1 day ago
    • Promoted
    Physical Therapist

    Physical Therapist

    H2HealthKaufman, TX, US
    Full-time
    Physical Therapist (PT) | Full-time | Outpatient | 2700 Commerce Way Ste 100, Kaufman, TX 75142.As a Physical Therapist (PT) in our outpatient clinics, you won't just treat conditions, you'...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    FULLY REMOTE Senior Medical Claims Analyst

    FULLY REMOTE Senior Medical Claims Analyst

    TEKsystemsDallas, TX, United States
    Remote
    Full-time
    TEKsystems is looking to hire several FULLY REMOTE Seasoned Medical Claims Analyst for a large healthcare client.If you have 5+ years of completing a deep level of research within PBM claims, and h...Show moreLast updated: 22 hours ago
    • Promoted
    Cardiovascular Invasive Specialist FT Days

    Cardiovascular Invasive Specialist FT Days

    Baylor Scott & White HealthRockwall, TX, US
    Permanent
    Baylor Scott & White Medical Center – Lake Pointe Address : 6800 Scenic Drive, Rowlett, 75088.K Sign on Bonus for Cardiovascular Invasive Specialists (CVIS), Cath Lab Techs.Call...Show moreLast updated: 30+ days ago
    • Promoted
    Senior Healthcare Claims / Appeals Analyst

    Senior Healthcare Claims / Appeals Analyst

    ERISA RecoveryPlano, TX, United States
    Full-time
    Signing Bonus We are seeking a detail-oriented and experienced Senior Collection / Appeal Representative with hospital UB-04 experience to join our team. The ideal candidate will have a strong under...Show moreLast updated: 2 days ago
    • Promoted
    General Dentist - Fate, Texas

    General Dentist - Fate, Texas

    Dental Care of Fate VillageFate, TX, US
    Full-time
    General Dentist Opportunity in Fate, Texas.Dental Care of Fate Village, is seeking a passionate and driven General Dentist to join our dynamic team. We are seeking a general dentist who will have fu...Show moreLast updated: 3 days ago
    • Promoted
    General Dentist - Lavon, Texas

    General Dentist - Lavon, Texas

    Dental Care at Lake LavonLavon, TX, US
    Full-time
    General Dentist Opportunity in Lavon, Texas.Join the thriving community of Lavon, Texas as a key member of this brand-new Heartland Dental supported office. Our commitment to exceptional patient car...Show moreLast updated: 2 days ago
    • Promoted
    Travel Nurse RN - Emergency Room (ER) / Trauma - $1,423 to $1,577 per week in Kaufman, TX

    Travel Nurse RN - Emergency Room (ER) / Trauma - $1,423 to $1,577 per week in Kaufman, TX

    TravelNurseSourceKaufman, TX, US
    Full-time
    TravelNurseSource is working with LRS Healthcare to find a qualified ER / Trauma RN in Kaufman, Texas, 75142!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits package,...Show moreLast updated: 2 days ago
    • Promoted
    Drive with Uber : Earn at least $1865 when you complete 164 trips, guaranteed

    Drive with Uber : Earn at least $1865 when you complete 164 trips, guaranteed

    UberCeleste, TX, United States
    Full-time +1
    Earn at least $1865 driving with Uber when you complete your first 164 trips in 30 days.Driving is an easy way to boost your income while maintaining the flexibility your schedule requires (gig, pa...Show moreLast updated: 7 days ago