12773-Lead Credit/Collections Coordinator

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.       

What you will do  

• 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     

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 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 

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    

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

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.