AR Recovery​/Healthcare Denials Specialist; On-site Plano, TX

Healthcare Denials Specialist

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
• Apply now to make a real impact with Fin Thrive!

Fin Thrive is advancing the healthcare economy. For the most recent information on Fin Thrive's vision for healthcare revenue management visit

Our Perks and Benefits

Fin Thrive is committed to continually enhancing the colleague experience by actively seeking new perks and benefits. For the most up-to-date offerings visit

Fin Thrive's Core Values and Expectations

• Demonstrate integrity and ethics in day-to-day tasks and decision making, adhere to Fin Thrive's core values of being Customer-Centric, Agile, Reliable and Engaged, operate effectively in the Fin Thrive environment and the environment of the work group, maintain a focus on self-development and seek out continuous feedback and learning opportunities
• Support Fin Thrive's Compliance Program by adhering to policies and procedures pertaining to HIPAA, FCRA, GLBA and other laws applicable to Fin Thrive's business practices; this includes becoming familiar with Fin Thrive's Code of Ethics, attending training as required, notifying management or Fin Thrive'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 Fin Thrive values diversity and belonging…