12773-Lead Credit/Collections Coordinator

FinThrive

6d

About The Position

The Lead Credit/Collections Coordinator manages moderately complicated insurance denials and underpayments using the Rubixis AR Follow Up software while maintaining quality production standards. The role takes on critical processes and serves as a mentor to Rep I and Rep II associates. The coordinator works assigned accounts from start to finish, investigates payment variances, and collaborates with leadership and teammates on trends and solutions.

The role also requires adherence to applicable billing regulations and procedures, FinThrive’s core values, and compliance requirements, including HIPAA-compliant handling of patient information and confidentiality obligations.

Requirements

• At least 5 years of hospital billing and follow-up experience.
• Advanced knowledge of all payer types and ability to manage day-to-day medical insurance billing and follow-up tasks.
• Knowledge of Medicare payer rules and processes, including interpreting denial reasons, submitting appeals, and accessing Medicare portals.
• Detailed understanding of insurance follow-up, including resolving non-paid, denied, underpaid, and rejected claims for healthcare providers.
• Experience in UB-04 facility pricing and reimbursement variance.
• Good understanding of revenue cycle.
• Basic understanding of HIT systems such as EPIC, Paragon, Zirmed, or other billing systems.
• Problem-solving and superior analytical skills.
• Organized and detail-oriented aptitude.

Nice To Haves

• Bachelor’s or associate degree.
• At least 2 years of experience in UB-04 follow-up and/or contract/reimbursement analysis, including investigation of pricing and reimbursement variances.
• Detailed knowledge of facility reimbursement contracts, fee schedules, and reimbursement procedures.
• Advanced MS Excel skills.

Responsibilities

• Learn and understand the Rubixis platform and available resources.
• Work an assigned number of accounts from start to finish successfully and in a timely manner.
• Call healthcare insurance companies, their affiliates, and providers to resolve questions about contract or payment issues.
• Analyze contract, billing, cash costing, pricing, and collections on accounts in compliance with billing regulations, policies, and procedures.
• Investigate insurance payments that deviate from expected payment.
• Work collaboratively with leadership and other team members to confirm, challenge, or provide trending and solutions.
• Mentor Rep I and Rep II associates.
• Adhere to FinThrive’s core values, compliance policies and procedures, and confidentiality obligations.

Benefits

• FinThrive offers perks and benefits; current offerings are available at finthrive.com/careers-benefits. Specific benefits are not listed in the posting.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed