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

About the RoleImpact 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 doInvestigate and resolve insurance denials and underpaymentsCall healthcare insurance companies, affiliates, and providers to resolve underpayment or denial issuesAnalyze contracts, billing, and collections to ensure accurate reimbursementWork closely with leadership and team members to identify denial trends and process improvementsCreate appeals, patient correspondences, and payer communication to support claim resolutionsMaintain HIPAA compliance and accurately document all work performedWhat you will bring3+ years of proven success with healthcare insurance billing, follow-up, reimbursement and collections in a hospital or BPO vendor environmentDeep knowledge of payer rules, including how to interpret denial reasons and submit appealsExperience 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/RAAbility to identify and resolve complex denials and underpayment issuesExcellent communication skills both written and verbalStrong problem-solving and analytical skills to assess insurance payment discrepanciesProficiency in Microsoft Excel and WordThis role requires on-site work at FinThrive's Plano, TX officeWhat we would like to seeMedicaid, Medicare, and Commercial billing experienceAssociate or Bachelor’s degreeWhy Join Us?Work with an innovative team using advanced ARO technology to improve medical billing efficiencyCareer growth opportunities in healthcare finance and revenue cycle managementCompetitive salary, benefits, and a supportive team cultureApply now to make a real impact with FinThrive!