AR Recovery Analyst II – Medicaid

🔥 2 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

FinThrive

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

☁️ SaaS

🤖 Artificial Intelligence

💰 $1M Series A on 2010-02

Healthcare • SaaS • Artificial Intelligence

FinThrive is a healthcare revenue cycle management (RCM) technology company that provides AI-powered, data-intelligence solutions to hospitals, health systems, ambulatory and physician practices, payers and life sciences organizations. Its FinThrive Fusion platform unifies siloed revenue-cycle data to enable predictive analytics, agentic AI workflows, and operational intelligence. Product offerings include patient access, revenue integrity (charge capture and compliance), revenue optimization (claims, denials prevention, payment accuracy), enterprise analytics and learning content designed to improve cash flow, reduce denials and streamline revenue operations. FinThrive positions itself as a SaaS provider delivering AI and automation capabilities to improve financial performance and operational efficiency across the healthcare revenue cycle.

📋 Description

• Manage moderately complicated insurance denials and underpayments using Rubixis AR Follow Up software • Learn and understand the ARO platform and available resources • Work assigned accounts from start to finish in a timely manner • Call healthcare insurance companies, affiliates, and providers to resolve contract or payment issues • Analyze contract, billing, cash costing, pricing, and collections in compliance with regulations, policies, and procedures • Investigate insurance payments that deviate from expected payment • Collaborate with leadership and team members on trends and solutions • Document research and work outcomes on accounts and subaccounts • Use system status codes, follow-up, and mark-ahead responses accurately • Escalate items to senior staff or management when appropriate • Validate bulk underpayment or denial trends • Follow up on mid-dollar balances based on project criteria • Create appeals and patient or payer correspondence • Maintain compliance with HIPAA and other regulatory guidelines • Mentor Rep I associates • Support FinThrive’s compliance program and handle patient information in a HIPAA-compliant manner

🎯 Requirements

• 3+ years of experience with healthcare insurance billing, follow-up, and collection in a hospital, clinical or BPO vendor environment with a proven track record of success in reimbursement and follow up • Knowledge of Medicaid payer rules and processes, including interpreting denial reasons, submitting appeals to Medicaid payers, and accessing Medicaid portals • Basic understanding of HIT systems such as EPIC, Paragon, Zirmed, or other billing systems • Ability to resolve higher-complexity denials and underpayments • Ability to understand and use payer contract language in calls with payers • Basic understanding of the healthcare revenue cycle in a hospital or clinical setting • Intermediate to advanced understanding of insurance billing, reimbursement, and follow-up processes • Familiarity with different payer types for claims processing and adjudication • Ability to identify, understand, and use medical billing terminology, including UB/1500 claim types, CPT, ICD, DRG codes, and EOB/RA • Proficient understanding and interpretation of payer correspondence • Excellent written and verbal communication • Proficiency with basic mathematics functions • Problem-solving and organizational ability • Able to maintain or exceed minimum average daily productivity and quality after 90 days • Understanding of Patient Accounting systems/EMR • Skills with MS Office (Word and Excel) • Degree in a related field • Certification in billing or medical coding • 2+ years of experience in UB-04 follow-up and/or contract/reimbursement analysis, including pricing and reimbursement variance investigations • 2+ years of experience with Medicaid processes and systems

🏖️ Benefits

• FinThrive perks and benefits; specific current offerings are available at finthrive.com/careers-benefits • Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions