nThrive

Rep III, AR Recovery

Job ID
2023-30342
Employment Type
Full Time
State
Remote

Overview

Who we are 

FinThrive – formerly nThrive and acquired companies, TransUnion Healthcare and PELITAS – 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 $7.6 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   

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. 
  • 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 
  • Organized and detail oriented 

 

 

What we would like to see  

 

  • Bachelor's or Associates 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   

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