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

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 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 #J-18808-Ljbffr FinThrive, Inc.