Rep I, Revenue Assurance

Job ID
Employment Type
Full Time


Who we are 

FinThrive is advancing the healthcare economy. We rethink revenue management to pave the way for a healthcare system that ensures every transaction and patient experience is addressed holistically. We’re making breakthroughs in technology—developing award-winning revenue management solutions that adapt with healthcare professionals, freeing providers and payers from complexity and inefficiency, so they can focus on doing their best work. Our end-to-end revenue management platform delivers a smarter, smoother revenue experience that increases revenue, reduces costs, expands cash collections, and ensures regulatory compliance across the entire revenue cycle continuum. We’ve delivered over $8.8 billion in net revenue and cash to more than 3,245 customers worldwide. When healthcare finance becomes effortless, the boundaries of what’s possible in healthcare expand. For more information on our new vision for healthcare revenue management, visit FinThrive.com  


What we offer 

Our people make us great. We know that our colleagues are the most integral part of our story. 


We offer a flexible, work-from-anywhere environment -coming together across time zones, countries, home offices and computer screens. Our valued team members work across the U.S., Canada, India and beyond. 


We encourage you to take time away from work –whenever you need it. Our flexible time off lets you make time for what matters most. We want you to travel, refresh, spend time with family and friends, and give back to your communities.   


We’re big on professional development. Through training and education, we help you develop the skills you need to excel in your role and beyond.   


We’re proud of our award-winning culture. We've been certified as a “Great Place to Work” since 2017.  Our goal is to engender a culture based on diversity, inclusion and respect—a culture where your voice is valued—and you always have a seat at the decision-making table. 


FinThrive Perks   

  • Fully remote working environment 
  • Flexible time off (FTO) 
  • Professional development opportunities  
  • 12 Weeks of paid parental leave 
  • In-person and virtual company retreats 
  • 5-days of paid volunteer hours at an approved 501(c)(3) Organization 
  • Company lump-sum contribution to HSA-eligible medical enrollees 
  • 401k Eligible upon date of hire—up to 3% company match 
  • Exclusive discounts from your favorite brands via PerkSpot 


Impact you will make  

As a Rep I, you will assist our clients in completing payer enrollments in order to successfully submit and receive electronic EDI transactions.  You will be expected to effectively communicate with the appropriate stakeholders throughout the enrollment process cycle.  As a Rep I, Business Operations Representative, you will be responsible for managing customer support queues to ensure items are acknowledged and routed to the appropriate teams quickly and efficiently.  You will also be responsible for researching and resolving inquiries from clients related to user access requests, assisting with invoicing inquiries and appropriately responding to general questions of low to moderate complexity.  At the direction of management, you may take the lead on projects of various size and scope within your area of responsibility and control. 


What you will do 

  • Perform analysis on Medicaid, Medicare and Commercial Inpatient and Outpatient hospital data  
  • Research and make decisions on appropriate eligibility for potential reportable accounts  
  • Identify, evaluate, and execute workflow plan on account denials in conjunction with NY healthcare requirements, policies and regulations  
  • Utilize numerous patient accounting systems to review patient account information 
  • Determine which accounts are confirmed to be reported to contracted client base 
  • Send detailed, clear and concise instructions of specific workflow steps to ensure billing accuracy for customer revenue recovery 
  • Analyze each reported account that has received payment to ensure payment date is correct and the payment amount is accurate and matches the reported payer 
  • Analyze each paid reported account to determine if the account can be invoiced  
  • Follow-up on previously reported accounts to determine whether the customer has accurately utilized the reported information  

What you will bring 

  • Intermediate Experience with Microsoft Word, Power Point, Excel, and Outlook 
  • Intermediate Healthcare and Revenue Cycle Experience 
  • Intermediate Analytical thinking and problem solving 
  • Ability to work alone or with a team seamlessly 
  • Ability to work remotely and self-manage to ensure all deadlines are met   
  • The skill to articulate excellent communication (verbal and written) 
  • Associate or Bachelor's Degree or equivalent experience 

What we would like to see 

  • Advanced Experience in Microsoft Excel and data interpretation 
  • Knowledge of multiple billing systems (Epic, Eagle, Meditech) 
  • Experience in NY Billing regulations 
  • Experience with Salesforce 
  • The skill and drive to identify and address procedural issues with patient account denials 
  • The ability to troubleshoot complex customer workflow opportunities  
  • Experience working in an office setting or job environment where productivity is based on customer results 


California Job Candidate Role


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