AR Recovery Analyst II – Medicaid

FinThrive

. Manage moderately complicated insurance denials and underpayments using Rubixis AR Follow Up software .

Posted 10/15/2026full-timeRemote • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in healthcare insurance billing, follow-up, and collections, with a strong understanding of Medicaid processes and compliance with HIPAA regulations. Proficient in analyzing denials and underpayments while maintaining productivity and quality standards.

Highest-signal resume keywords

Healthcare Insurance BillingMedicaid ProcessesDenial ManagementCompliance with HIPAAMedical Billing Terminology

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Insurance BillingReimbursement ProcessesContract AnalysisUB-04 Follow-UpCPT CodesICD CodesDRG CodesEOB/RA InterpretationMathematics ProficiencyPayer Contract Language

Soft Skills

Problem-SolvingOrganizational AbilityWritten CommunicationVerbal Communication

Tools & Technologies

Rubixis AR Follow UpHIT SystemsEPICParagonZirmedMS Office

Certifications & Qualifications

Certification in BillingMedical Coding Certification

Industry Keywords

Healthcare Revenue CycleClaims ProcessingPatient Accounting SystemsBPO Vendor EnvironmentPayer Types

About the role

Key responsibilities & impact

Manage moderately complicated insurance denials and underpayments using Rubixis AR Follow Up software
Learn and understand the ARO platform and available resources
Work assigned accounts from start to finish in a timely manner
Call healthcare insurance companies, affiliates, and providers to resolve contract or payment issues
Analyze contract, billing, cash costing, pricing, and collections in compliance with regulations, policies, and procedures
Investigate insurance payments that deviate from expected payment
Collaborate with leadership and team members on trends and solutions
Document research and work outcomes on accounts and subaccounts
Use system status codes, follow-up, and mark-ahead responses accurately
Escalate items to senior staff or management when appropriate
Validate bulk underpayment or denial trends
Follow up on mid-dollar balances based on project criteria
Create appeals and patient or payer correspondence
Maintain compliance with HIPAA and other regulatory guidelines
Mentor Rep I associates
Support FinThrive’s compliance program and handle patient information in a HIPAA-compliant manner

Requirements

What you’ll need

3+ years of experience with healthcare insurance billing, follow-up, and collection in a hospital, clinical or BPO vendor environment with a proven track record of success in reimbursement and follow up
Knowledge of Medicaid payer rules and processes, including interpreting denial reasons, submitting appeals to Medicaid payers, and accessing Medicaid portals
Basic understanding of HIT systems such as EPIC, Paragon, Zirmed, or other billing systems
Ability to resolve higher-complexity denials and underpayments
Ability to understand and use payer contract language in calls with payers
Basic understanding of the healthcare revenue cycle in a hospital or clinical setting
Intermediate to advanced understanding of insurance billing, reimbursement, and follow-up processes
Familiarity with different payer types for claims processing and adjudication
Ability to identify, understand, and use medical billing terminology, including UB/1500 claim types, CPT, ICD, DRG codes, and EOB/RA
Proficient understanding and interpretation of payer correspondence
Excellent written and verbal communication
Proficiency with basic mathematics functions
Problem-solving and organizational ability
Able to maintain or exceed minimum average daily productivity and quality after 90 days
Understanding of Patient Accounting systems/EMR
Skills with MS Office (Word and Excel)
Degree in a related field
Certification in billing or medical coding
2+ years of experience in UB-04 follow-up and/or contract/reimbursement analysis, including pricing and reimbursement variance investigations
2+ years of experience with Medicaid processes and systems

Benefits

Comp & perks

FinThrive perks and benefits; specific current offerings are available at finthrive.com/careers-benefits
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions