About the Role Impact you will make As an AR Quality Analyst, you will be responsible for effective feedback sharing sessions, client interactions, and generating/distributing quality domain-related reports to the leadership team. You will be impactful in increasing customer confidence and improving work processes, efficiency, and competitiveness in the Healthcare market. You'll be part of a dynamic team using cutting-edge ARO software to streamline medical claims and collections. What you will do
- Periodically monitor teams' performance and recommend performance improvement plans
- Be hands-on in preparing daily, weekly, and monthly operational metrics reports
- Identify trends and patterns from the generated reports and initiate action plans to resolve the AR issues
- Ensure projects are delivered on time with accuracy
- Identify and resolve queries/issues that result in delay of payment
- Provide constructive feedback, given on a consistent basis with the aim of improving the quality of work done
- Help in auditing transactions in different domains like Charge entry, Payment entry, and denial handling and provide input on client-related issues, along with valuable suggestions to improve processes or client profile instructions
- Identify and propose training needs based on audits
What you will bring
- 5+ years of proven success with healthcare insurance billing, follow-up, reimbursement and collections in a hospital or BPO vendor environment
- 1+ years of experience as a Hospital Denials Quality Analyst or demonstrated ability to meet production goals at a Rep III level
- 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
- Travel: None required
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
|
FinThrive
Apr 26, 2025