AR Recovery Analyst III (Medicaid)
| Hours | Full-time, Part-time |
|---|---|
| Location | Plano, Texas |
About this job
About FinThrive
FinThrive is advancing the healthcare economy. We rethink revenue management to pave the way for a healthcare system that ensures every transaction and patient experience is addressed holistically. We're making breakthroughs in technology-developing award-winning revenue management solutions that adapt with healthcare professionals, freeing providers and payers from complexity and inefficiency, so they can focus on doing their best work. Our end-to-end revenue management platform delivers a smarter, smoother revenue experience that increases revenue, reduces costs, expands cash collections, and ensures regulatory compliance across the entire revenue cycle continuum. We've delivered over $10 billion in net revenue and cash to more than 3,245 customers worldwide. When healthcare finance becomes effortless, the boundaries of what's possible in healthcare expand. For more information on our new vision for healthcare revenue management, visit finthrive.com
Award-winning Culture of Customer-centricity and Reliability
At FinThrive we're proud of our agile and committed culture, which has led to certification as a "Great Place to Work" since 2017. We're honored to have been ranked #21 among the Best Workplaces in Healthcare for 2023, and we know that it's our collective dedication that makes FinThrive an exceptional place to work.
- Find balance with our remote-friendly organization
- Take time to recharge and pursue your passions
- Be part of a positive and supportive work environment
- Grow and excel your career with training and education
Our Perks and Benefits
FinThrive is committed to continually enhancing the employee experience by actively seeking new perks and benefits. For the most up-to-date offerings visit finthrive.com/careers-benefits.
Impactyou will make
Reps typically demonstrate the aptitude and ability to take on critical processes while managing quality production standards. Acts as a mentor to Rep I& Rep IIassociates.Responsible for managing moderately complicated insurance denials and underpayments via theRubixisAR Follow Up software.
What you will do
- Learn and understand ourRubixisplatform and the various resources available
- Work an assigned number of accounts from start to finish successfully, and in a timely manner
- Call healthcare insurance companies, their affiliates & providers to resolve any question about contract or payment issues
- Analyze contract, billing, cash costing, pricing, and collections on accounts in compliance with billing regulations,policies,and
- procedures
- Investigate all insurance payments that deviate from expected payment
- Work collaboratively with leadership and other team members to confirm, challenge, or provide trending and solutions
What you will bring
- 5+ years Hospital Billing with follow up experience, with advanced knowledge of all pay or types, who will be able to manage day-to-day operational tasks associated with medical insurance billing and follow up
- Knowledge of Medicaid payer rules, processes, including how to interpret denial reasons, how to submit appeals to Medicaid payer, and access Medicaid portals
- Detailed understanding of insurance follow-up (i.e.,resolving non-paid, denied, under-paid, and rejectedclaims) for healthcare providers
- Experience in UB04 Facility Pricing and Reimbursement variance
- Good understanding of revenue cycle
- Basic understanding of HIT systems like EPIC, Paragon,Zirmed,or other billing systems
- Problem solving / superior analytical skills
- An organized and detail-orientedaptitude
What we would like to see
- Bachelor's or Associate degree
- 2+ years of experience in UB-04 Follow-Up and/or Contract/Reimbursement Analysis, including investigation of both pricing and reimbursement variances
- Detailed knowledge of Facility Reimbursement contracts, fee schedules, reimbursement procedures
- Advanced MS Excel skills
Statement of EEO
Know Your Rights
Pay Transparency Notice
- Job Family Finance
- Job Function Credit/Collections
- Pay Type Hourly
- Travel Required No
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