[Hiring] Lead Credit/Collections Coordinator @FinThrive

Role Description

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 II associates.

Responsible for managing moderately complicated insurance denials and underpayments via the Rubixis AR Follow Up software.

• Learn and understand our Rubixis platform 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.

Qualifications

• 5+ years Hospital Billing with follow up experience, with advanced knowledge of all payor types.
• Knowledge of Medicare payer rules, processes, including how to interpret denial reasons, how to submit appeals to Medicare payer, and access Medicare portals.
• Detailed understanding of insurance follow-up (i.e., resolving non-paid, denied, under-paid, and rejected claims) 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-oriented aptitude.

Requirements

• 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.

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.