AR Recovery/Healthcare Denials Specialist (On-site Plano, TX)
Plano, Texas, United States
OnsiteFull Time
FinThrive: Provides software solutions for healthcare revenue cycle management.
3+ YOE3+ years healthcare billing/collections experience in hospital or BPO; deep knowledge of payer rules, denial interpretation and appeals; experience with EPIC/Paragon/Zirmed or similar EHR; proficiency with Microsoft Excel and Word; HIPAA compliance.
ARO software, EPIC, Paragon, Zirmed, EHR, Microsoft Excel, Microsoft Word
AR Recovery/Healthcare Denials Specialist (On-site Plano, TX)
Plano, Texas, United States
OnsiteFull Time
FinThrive: SaaS platform for healthcare revenue cycle and financial management.
3+ YOE3+ years healthcare billing, reimbursement, and collections experience (hospital or BPO); deep payer rules knowledge; experience with EPIC, Paragon, Zirmed or similar; proficiency in Microsoft Excel and Word; HIPAA compliance.
ARO software, EPIC, Paragon, Zirmed, Microsoft Excel, Microsoft Word
Cook Children's: Provides comprehensive pediatric medical care and specialized health services.
5+ YOE3+ MgmtManage government payor AR; 5+ years hospital AR experience; 3+ years supervisory experience; HS diploma required, bachelor's in business/accounting/finance preferred; knowledge of Medicare/Medicaid and claim processing; Epic Systems Revenue Cycle Solutions preferred.
2+ YOEMust be an LVN or RN with MDS experience; 2+ years healthcare experience preferred. Experience with appeals, denials, audits, ICD-10/CPT/HCPCS coding, and payer audits required.
Oceans Healthcare: Provider of specialized behavioral health and psychiatric services.
10+ YOERequires 10+ years of progressive healthcare leadership, multi-facility or health system leadership, executive and physician collaboration, and success improving reimbursement, denials, or throughput. Master's preferred.
CHRISTUS Health: Catholic nonprofit health system providing comprehensive medical services.
Experience managing managed care contracts, payer relations, denial and underpayment resolution, credentialing, training/mentoring staff, and conducting payment and operational data analysis. Bachelor's degree preferred.
Vital Care Infusion Services: Provides home infusion therapy and specialty pharmacy franchise services.
2+ YOE2+ years home infusion billing/collections experience, high school diploma, proficiency with payer processes and MS Office, strong communication, documentation, and denial-analysis skills for revenue cycle collections.
SCP Health: Provides clinical staffing and management for healthcare facilities.
2+ YOE2+ years medical denial management and patient billing experience; ability to read EOBs; knowledge of ICD/CPT/HCPCS coding; intermediate MS Office and Excel; strong communication and organizational skills.
Microsoft Excel, Microsoft Word, OnBase, Centricity, Way Star, Payor Portals, ICD-9, ICD-10, CPT, HCPCS
United Surgical Partners InternationalNYSE: THC: Operates a network of ambulatory surgery centers.
3+ YOEHigh school diploma or equivalent; 3+ years hospital collections preferred; insurance billing, denials, appeals, EOBs, payer contracts, medical necessity, communication, prioritization, and Microsoft Office proficiency required.
Microsoft Office, Microsoft Excel, Microsoft Outlook, DDE, Ability Ease, nThrive, Cerner, Advantx, Vision, HST, Waystar
Plutus Health: AI-powered revenue cycle management and medical billing solutions.
7+ YOE7+ years medical coding/auditing and RCM leadership experience; CPC/CCS or equivalent; strong payer policy, denial management, audit, and client relationship skills; Epic/Meditech/Paragon proficiency.
Creative Solutions in Healthcare: Operates skilled nursing and assisted living facilities for seniors.
3+ YOECurrent Texas LVN or RN license, 3+ years in managed care contracting, payer relations, or healthcare reimbursement, Texas Medicaid and SNF knowledge, contract negotiation, denials management, and Excel proficiency.
Guidehouse: Provides management and technology consulting services to diverse organizations.
1+ YOEHigh school diploma or equivalent (or 3 years' experience), 1+ years office/customer service or healthcare experience; experience with billing, insurance follow-up, appeals/denials; Microsoft Word/Excel skills.
Windows, Microsoft Word, Microsoft Excel, UB-04, CMS 1500
KidsCare Home Health: Provider of pediatric home health and therapy services.
1+ YOEHigh school diploma/GED, 1–2 years medical billing experience preferred, proficiency with Microsoft Excel and medical billing systems, experience with denials/appeals/ERAs/EOBs, strong attention to detail and communication.
Curantis Solutions: Cloud-based software solutions for hospice and palliative care.
5+ YOE5+ years hospice billing/revenue cycle experience, 3+ years Medicare claim creation/posting, denial and appeal experience, familiarity with EMR/EHR and Microsoft Office; CHBS/CPB/CPC a plus; strong communication and analytical skills.
Curantis platform, EMR/EHR, Microsoft Office, AI-enabled tools