Finthrive Jobs in Usa
7 positions found
About the Role
Impact you will make
Are you an expert in healthcare insurance reimbursement? Do you thrive on solving complex insurance denials and underpayments? Join our team and play a vital role in ensuring hospitals receive the reimbursements they deserve.
We're looking for an experienced Healthcare Denials Specialist to analyze and resolve payer denials and underpayments. You'll be part of a dynamic team using cutting-edge ARO software to streamline medical claims and collections. As a Denials Specialist II, you will also have the opportunity to mentor junior representatives.
What you will do
- Investigate and resolve insurance denials and underpayments
- Call healthcare insurance companies, affiliates, and providers to resolve underpayment or denial issues
- Analyze contracts, billing, and collections to ensure accurate reimbursement
- Work closely with leadership and team members to identify denial trends and process improvements
- Create appeals, patient correspondences, and payer communication to support claim resolutions
- Maintain HIPAA compliance and accurately document all work performed
What you will bring
- 3+ years of proven success with healthcare insurance billing, follow-up, reimbursement and collections in a hospital or BPO vendor environment
- Deep knowledge of payer rules, including how to interpret denial reasons and submit appeals
- Experience with healthcare billing/EHR systems (EPIC, Paragon, Zirmed, or similar)
- Strong understanding of medical terminology including claim types (UB-04), CPT, ICD, DRG codes, and EOB/RA
- Ability to identify and resolve complex denials and underpayment issues
- Excellent communication skills both written and verbal
- Strong problem-solving and analytical skills to assess insurance payment discrepancies
- Proficiency in Microsoft Excel and Word
- This role requires on-site work at FinThrive's Plano, TX office
What we would like to see
- Medicaid, Medicare, and Commercial billing experience
- Associate or Bachelor's degree
Why Join Us?
- Work with an innovative team using advanced ARO technology to improve medical billing efficiency
- Career growth opportunities in healthcare finance and revenue cycle management
- Competitive salary, benefits, and a supportive team culture
- Apply now to make a real impact with FinThrive!
About FinThrive
FinThrive is advancing the healthcare economy.
For the most recent information on FinThrive's vision for healthcare revenue management visit /why-finthrive.
Award-winning Culture of Customer-centricity and Reliability
At FinThrive we're proud of our agile and committed culture, which makes FinThrive an exceptional place to work. Explore our latest workplace recognitions at careers#culture.
Our Perks and Benefits
FinThrive is committed to continually enhancing the colleague experience by actively seeking new perks and benefits. For the most up-to-date offerings visit /careers-benefits.
FinThrive's Core Values and Expectations
- Demonstrate integrity and ethics in day-to-day tasks and decision making, adhere to FinThrive's core values of being Customer-Centric, Agile, Reliable and Engaged, operate effectively in the FinThrive environment and the environment of the work group, maintain a focus on self-development and seek out continuous feedback and learning opportunities
- Support FinThrive's Compliance Program by adhering to policies and procedures pertaining to HIPAA, FCRA, GLBA and other laws applicable to FinThrive's business practices; this includes becoming familiar with FinThrive's Code of Ethics, attending training as required, notifying management or FinThrive's Helpline when there is a compliance concern or incident, HIPAA-compliant handling of patient information, and demonstrable awareness of confidentiality obligations
Physical Demands
The physical demands and work environment characteristics described here are representative of those that a colleague must meet to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Statement of EEO
FinThrive values diversity and belonging and is proud to be an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're committed to providing reasonable accommodation for qualified applicants with disabilities in our job application and recruitment process.
FinThrive Privacy Notice for California Resident Job Candidates
Know Your Rights
Pay Transparency Notice
FinThrive is an Equal Opportunity Employer and ensures its employment decisions comply with principles embodied in Title VII, the Age Discrimination in Employment Act, the Rehabilitation Act of 1973, the Vietnam Veterans Readjustment Assistance Act of 1974, Executive Order 11246, Revised Order Number 4, and applicable state regulations.
2024 FinThrive. All rights reserved. The FinThrive name, products, associated trademarks and logos are owned by FinThrive or related entities. RV092724TJO
| FinThrive Careers | FinThrive Benefits & Perks | Physical Demands
About the Role
Impact you will make
Software Engineer with FinThrive is responsible for the design and development of new features and tools to support our industry leading healthcare software. This position also supports and maintains existing products for growth and development of our Patient to Payment technology suite. The ideal candidate will have experience with software development practices and patterns, as well as direct experience in supporting enterprise-level cloud-based solutions. Collaborating on a high energy team that provides an opportunity for flexibility of responsibility, schedule and location.
You will help create and maintain our software and establish best practices. Key impact:
- Create or update components of multi-million-dollar revenue claims products
- Work with cutting edge web technologies and modernize older applications
- Build cloud based software using modern CI/CD practices
What you will do
- Develop new features and maintain/enhance existing functionality
- Work within and maintain an extensible and performant system architecture
- Perform code review, unit test coverage, and continuous improvement
- Monitor and fix security vulnerabilities
- Support automation and productivity
- Communicate effectively with team members and project leadership about technical deliverables and hurdles
- Seek opportunities to incorporate new technologies into the product's technology stack when they can add value
- Work directly with support organizations to resolve production issues
- Provide application support by analyzing defects, replicating/fixing defects and providing root cause analysis for defects
- Troubleshoot and resolve functional and performance related issues
- Update documentations for code written, deployment instructions, and support
What you will bring
- Bachelor's degree in software engineering or related field; alternative 4+ years of software engineering experience
- Experience in developing software in an Agile environment
- Good knowledge of Visual Studio, C#, ASP.Net MVC, ASP.Net, SQL, WebAPI
- Experience with modern web development with modern JS and TS frameworks
- Angular experience
- OOD & Design Patterns, e.g., Inversion of Control (Microsoft Dependency Extensions / Autofac/Unity)
- Experience with unit testing frameworks (nUnit, Moq, MSTest, nspec, etc.)
- Excellent oral and written communications skills
- Basic understanding of CI/CD and integration of automation into CI/CD
- Effective communication skills and ability to collaborate with developers and product owners
What we would like to see
- Strong understanding of .NET
- Azure Knowledge
- Continuous Integration experience and understanding
- Automated Testing & Continuous Integration experience
- Test Driven Development (TDD) experience
- Cloud base software development experience
- Healthcare domain knowledge, specifically in the areas of Patient Accounting, HIM, Revenue Cycle and IT integration
- Knowledge of software development best practices; proven ability to monitor code quality and unit test coverage, security vulnerabilities
About FinThrive
FinThrive is advancing the healthcare economy.
For the most recent information on FinThrive's vision for healthcare revenue management visit /why-finthrive.
Award-winning Culture of Customer-centricity and Reliability
At FinThrive we're proud of our agile and committed culture, which makes FinThrive an exceptional place to work. Explore our latest workplace recognitions at careers#culture.
Our Perks and Benefits
FinThrive is committed to continually enhancing the colleague experience by actively seeking new perks and benefits. For the most up-to-date offerings visit /careers-benefits.
FinThrive's Core Values and Expectations
- Demonstrate integrity and ethics in day-to-day tasks and decision making, adhere to FinThrive's core values of being Customer-Centric, Agile, Reliable and Engaged, operate effectively in the FinThrive environment and the environment of the work group, maintain a focus on self-development and seek out continuous feedback and learning opportunities
- Support FinThrive's Compliance Program by adhering to policies and procedures pertaining to HIPAA, FCRA, GLBA and other laws applicable to FinThrive's business practices; this includes becoming familiar with FinThrive's Code of Ethics, attending training as required, notifying management or FinThrive's Helpline when there is a compliance concern or incident, HIPAA-compliant handling of patient information, and demonstrable awareness of confidentiality obligations
Physical Demands
The physical demands and work environment characteristics described here are representative of those that a colleague must meet to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Statement of EEO
FinThrive values diversity and belonging and is proud to be an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're committed to providing reasonable accommodation for qualified applicants with disabilities in our job application and recruitment process.
FinThrive Privacy Notice for California Resident Job Candidates
Know Your Rights
Pay Transparency Notice
FinThrive is an Equal Opportunity Employer and ensures its employment decisions comply with principles embodied in Title VII, the Age Discrimination in Employment Act, the Rehabilitation Act of 1973, the Vietnam Veterans Readjustment Assistance Act of 1974, Executive Order 11246, Revised Order Number 4, and applicable state regulations.
2024 FinThrive. All rights reserved. The FinThrive name, products, associated trademarks and logos are owned by FinThrive or related entities. RV092724TJO
| FinThrive Careers | FinThrive Benefits & Perks | Physical Demands
About the Role
Impact you will make
The Regional Customer Success Leader plays a pivotal role in driving FinThrive's mission to transform healthcare revenue management through technology and partnership. This leader ensures that our customers realize measurable financial and operational outcomes while maintaining strong executive relationships across their portfolio. By coaching and empowering a high-performing team of Customer Success Directors, this role directly influences revenue retention, client growth, and customer satisfaction. Acting as a strategic connector between our clients and internal teams, the Regional Leader helps shape FinThrive's reputation as a trusted partner and accelerates our success in an evolving healthcare landscape.
Regional Customer Success Leader
What You Will Do
- Report to the SVP, Growth and lead a regional team of Customer Success Directors
- Coach, mentor, and develop Customer Success Directors to build a high-performance culture focused on proactive client engagement, strategic account planning, and measurable outcomes.
- Ensure execution of account strategies that drive revenue retention, client growth, NPS improvement, and achievement of customer success KPIs.
- Use data-driven insights to identify at-risk accounts, develop intervention plans, and align customer outcomes with FinThrive's strategic objectives.
- Partner cross-functionally with Sales, Product, Marketing, Implementation, Customer Support, IT, and Finance to ensure seamless customer experience and alignment on account strategy.
- Lead regular Executive Business Reviews (EBRs) and support escalation management to ensure client satisfaction and value realization.
- Drive adoption of FinThrive's full suite of revenue cycle technology solutions across your customer portfolio.
- Represent the voice of the customer internally and influence product roadmaps through structured feedback loops.
- Collaborate with leadership on forecasting, renewal planning, and upsell strategies to meet financial targets.
- Travel up to 50% to meet with customers, attend industry events, and strengthen executive relationships.
What You Will Bring
- 10+ years of experience in healthcare technology, revenue cycle management, or SaaS-based customer success.
- 5+ years of leadership experience managing and developing regional or national customer success teams.
- Proven success in revenue retention, growth, and client satisfaction within complex healthcare organizations.
- Strong executive presence and communication skills, with the ability to influence at all levels of the client organization.
- Experience in account strategy, KPI management, and operational execution.
- Demonstrated ability to collaborate across functions and drive cross-departmental alignment.
- Excellent analytical, problem-solving, and organizational skills with a data-first mindset.
- Proficiency with Salesforce, Gainsight, Gong and other CRM or customer success tools.
- Bachelor's degree required; MBA or advanced degree preferred.
- Travel required: up to 50%.
What We Would Like to See
- Prior experience with revenue cycle SAAS technology and service solutions
- Strong understanding of healthcare reimbursement, payer-provider workflows, and regulatory requirements.
- Demonstrated success driving NPS participation, EBR cadence, and customer engagement metrics.
- Commitment to FinThrive's core values - Customer Centric, Agile, Reliable, Engaged (CARE).
About FinThrive
FinThrive is advancing the healthcare economy.
For the most recent information on FinThrive's vision for healthcare revenue management visit /why-finthrive.
Award-winning Culture of Customer-centricity and Reliability
At FinThrive we're proud of our agile and committed culture, which makes FinThrive an exceptional place to work. Explore our latest workplace recognitions at careers#culture.
Our Perks and Benefits
FinThrive is committed to continually enhancing the colleague experience by actively seeking new perks and benefits. For the most up-to-date offerings visit /careers-benefits.
FinThrive's Core Values and Expectations
- Demonstrate integrity and ethics in day-to-day tasks and decision making, adhere to FinThrive's core values of being Customer-Centric, Agile, Reliable and Engaged, operate effectively in the FinThrive environment and the environment of the work group, maintain a focus on self-development and seek out continuous feedback and learning opportunities
- Support FinThrive's Compliance Program by adhering to policies and procedures pertaining to HIPAA, FCRA, GLBA and other laws applicable to FinThrive's business practices; this includes becoming familiar with FinThrive's Code of Ethics, attending training as required, notifying management or FinThrive's Helpline when there is a compliance concern or incident, HIPAA-compliant handling of patient information, and demonstrable awareness of confidentiality obligations
Physical Demands
The physical demands and work environment characteristics described here are representative of those that a colleague must meet to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Statement of EEO
FinThrive values diversity and belonging and is proud to be an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're committed to providing reasonable accommodation for qualified applicants with disabilities in our job application and recruitment process.
FinThrive Privacy Notice for California Resident Job Candidates
Know Your Rights
Pay Transparency Notice
FinThrive is an Equal Opportunity Employer and ensures its employment decisions comply with principles embodied in Title VII, the Age Discrimination in Employment Act, the Rehabilitation Act of 1973, the Vietnam Veterans Readjustment Assistance Act of 1974, Executive Order 11246, Revised Order Number 4, and applicable state regulations.
2024 FinThrive. All rights reserved. The FinThrive name, products, associated trademarks and logos are owned by FinThrive or related entities. RV092724TJO
| FinThrive Careers | FinThrive Benefits & Perks | Physical Demands
About the Role
What you will do
- Own the process for building payer relationships, identifying payer requirements for connection, translating requirements into user stories for the development team, coordinating implementation and testing, and ensuring the payer connection is successful in production.
- Fill the role of subject matter expert in relation to prior authorizations and notice of admission both in terms of payer requirements and overall business requirements to successfully manage prior authorizations between providers and payers.
- Identify and document the correct method of submission and status for prior authorizations to payers based on the payer requirement for specific service or CPT code including EDI 278 215/217, UMO payer portal, or Fax.
- Document payer portal prior authorization workflows for robotic process automation and work with the RPA development team to build and test new payer portal prior auth automations.
- Define and monitor key metrics for prior authorization connectivity, including transaction turnaround time, error rates, and customer satisfaction
- Maintain up-to-date knowledge of regulatory requirements impacting prior authorization processes and ensure compliance in all payer connections
- Become an expert in the upcoming Da Vinci FHIR prior authorization standards and work with development and business teams to ensure successful transition to FHIR
- Work with payers and providers to establish FHIR connections for Prior Auth
- Collaborate with the development team and clearinghouse team to establish EDI connections to payers
- Collaborate closely with development, QA, UX, and other cross-functional teams to ensure deliverables meet customer and business expectations.
- Engage directly with customers and internal stakeholders to elicit and understand business needs, pain points, and desired outcomes.
- Triage errors and issues that arise and work and collaborate with other teams to resolve as needed to resolve the issues.
- Prioritize the payer connection backlog based on business value, customer impact, and development capacity, ensuring alignment with strategic goals.
- Apply critical thinking to streamline processes and work towards continual improvement and efficiency
- Maintain and prioritize the user story backlog and work with development and stakeholder teams to refine user stories to meet the Definition of Ready for development
- Work with the scrum team to ensure all tasks are completed and the committed objectives are achieved
What you will bring
- Subject matter expert knowledge of healthcare prior authorizations and notice of admission processes on the provider, payer, and UMO sides.
- 2+ years of experience working with prior authorization submissions and status to payers and UMOs
- Knowledge of Da Vinci FHIR and ability to become a Da Vinci FHIR subject matter expert
- Strong skills in creating detailed requirements, user stories, and acceptance criteria.
- Strong analytical and critical thinking skills to solve complex business problems.
- Provide guidance and direction to the technology teams during the development cycle and participate in all scrum ceremonies. Be available and ready to make quick, well-informed team-level decisions on behalf of stakeholders and the business
- Ability to train others and share knowledge across teams
- Excellent written and verbal communication skills, excellent inter-personal skills with the ability to bridge business and technical environments, and ability to build professional relationships
- Ability to quickly learn complex systems and understand product architecture and development frameworks.
What we would like to see
- Bachelor's degree in a related field
- Experience working directly with healthcare providers, payers, or RCM vendors.
- Experience in Agile Scrum and SAFe development methodologies
- Healthcare revenue cycle management knowledge specifically related to prior authorizations
- Knowledge of healthcare EDI transactions including 278 215/216/217, 837, 835, 276/277, 270/271, and 275 EDI transactions
About FinThrive
FinThrive is advancing the healthcare economy.
For the most recent information on FinThrive's vision for healthcare revenue management visit /why-finthrive.
Award-winning Culture of Customer-centricity and Reliability
At FinThrive we're proud of our agile and committed culture, which makes FinThrive an exceptional place to work. Explore our latest workplace recognitions at careers#culture.
Our Perks and Benefits
FinThrive is committed to continually enhancing the colleague experience by actively seeking new perks and benefits. For the most up-to-date offerings visit /careers-benefits.
FinThrive's Core Values and Expectations
- Demonstrate integrity and ethics in day-to-day tasks and decision making, adhere to FinThrive's core values of being Customer-Centric, Agile, Reliable and Engaged, operate effectively in the FinThrive environment and the environment of the work group, maintain a focus on self-development and seek out continuous feedback and learning opportunities
- Support FinThrive's Compliance Program by adhering to policies and procedures pertaining to HIPAA, FCRA, GLBA and other laws applicable to FinThrive's business practices; this includes becoming familiar with FinThrive's Code of Ethics, attending training as required, notifying management or FinThrive's Helpline when there is a compliance concern or incident, HIPAA-compliant handling of patient information, and demonstrable awareness of confidentiality obligations
Physical Demands
The physical demands and work environment characteristics described here are representative of those that a colleague must meet to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Statement of EEO
FinThrive values diversity and belonging and is proud to be an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're committed to providing reasonable accommodation for qualified applicants with disabilities in our job application and recruitment process.
FinThrive Privacy Notice for California Resident Job Candidates
Know Your Rights
Pay Transparency Notice
FinThrive is an Equal Opportunity Employer and ensures its employment decisions comply with principles embodied in Title VII, the Age Discrimination in Employment Act, the Rehabilitation Act of 1973, the Vietnam Veterans Readjustment Assistance Act of 1974, Executive Order 11246, Revised Order Number 4, and applicable state regulations.
2024 FinThrive. All rights reserved. The FinThrive name, products, associated trademarks and logos are owned by FinThrive or related entities. RV092724TJO
| FinThrive Careers | FinThrive Benefits & Perks | Physical Demands
Impact you will make
We are seeking an experienced Product Manager to lead the vision, strategy, and execution of our Patient Experience and Denials Prevention analytics products focused on healthcare revenue workflows in healthcare. This role provides both strategic and people leadership, overseeing a team of Product Owners while working cross-functionally to ensure our solutions deliver measurable value to healthcare providers.
The Product Manager will collaborate closely with the Sr. Director of Product Management and fellow Product Managers to define portfolio strategy and drive cross-product alignment. This role is responsible for turning market needs and business goals into actionable roadmaps, partnering across the organization to deliver high-impact analytics products that support operational efficiency and financial performance in the revenue cycle.
Responsibilities:
- Lead the product direction for a defined domain, including shaping the roadmap, aligning with business objectives, and ensuring successful delivery
- Manage and mentor a team of Product Owners, supporting their development and ensuring clear priorities and execution
- Collaborate with other Product Managers and the Sr. Director of Product Management to develop and maintain an integrated product portfolio strategy
- Translate customer and market needs into business cases, value propositions, and prioritization frameworks
- Guide cross-functional teams through the product lifecycle, from ideation to delivery and adoption
- Ensure strong coordination with Engineering, UX, Data Science, Marketing, and Customer Success teams
- Monitor product performance through defined KPIs and partner on go-to-market and enablement activities
- Maintain subject matter expertise in revenue management and revenue recovery workflows
Qualifications:
- 5+ years of experience in product management or related roles, with 2+ years of team leadership preferred
- Proven ability to manage and mentor Product Owners or similar roles
- Strong collaboration and communication skills, with experience leading through influence across departments
- Deep understanding of the healthcare revenue cycle, particularly revenue recovery processes
- Experience with analytics, SaaS, or data-driven solutions in a regulated or healthcare setting
- Strategic thinker with strong execution skills and attention to measurable outcomes
What we would like to see
- Experience with process diagrams and flowcharts (MS Visio, Draw IO, etc.)
- Experience in a customer-facing role
- SQL and database knowledge a plus
About FinThrive
FinThrive is advancing the healthcare economy.
For the most recent information on FinThrive's vision for healthcare revenue management visit /why-finthrive.
Award-winning Culture of Customer-centricity and Reliability
At FinThrive we're proud of our agile and committed culture, which makes FinThrive an exceptional place to work. Explore our latest workplace recognitions at careers#culture.
Our Perks and Benefits
FinThrive is committed to continually enhancing the colleague experience by actively seeking new perks and benefits. For the most up-to-date offerings visit /careers-benefits.
FinThrive's Core Values and Expectations
- Demonstrate integrity and ethics in day-to-day tasks and decision making, adhere to FinThrive's core values of being Customer-Centric, Agile, Reliable and Engaged, operate effectively in the FinThrive environment and the environment of the work group, maintain a focus on self-development and seek out continuous feedback and learning opportunities
- Support FinThrive's Compliance Program by adhering to policies and procedures pertaining to HIPAA, FCRA, GLBA and other laws applicable to FinThrive's business practices; this includes becoming familiar with FinThrive's Code of Ethics, attending training as required, notifying management or FinThrive's Helpline when there is a compliance concern or incident, HIPAA-compliant handling of patient information, and demonstrable awareness of confidentiality obligations
Physical Demands
The physical demands and work environment characteristics described here are representative of those that a colleague must meet to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Statement of EEO
FinThrive values diversity and belonging and is proud to be an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're committed to providing reasonable accommodation for qualified applicants with disabilities in our job application and recruitment process.
FinThrive Privacy Notice for California Resident Job Candidates
Know Your Rights
Pay Transparency Notice
FinThrive is an Equal Opportunity Employer and ensures its employment decisions comply with principles embodied in Title VII, the Age Discrimination in Employment Act, the Rehabilitation Act of 1973, the Vietnam Veterans Readjustment Assistance Act of 1974, Executive Order 11246, Revised Order Number 4, and applicable state regulations.
2024 FinThrive. All rights reserved. The FinThrive name, products, associated trademarks and logos are owned by FinThrive or related entities. RV092724TJO
| FinThrive Careers | FinThrive Benefits & Perks | Physical Demands
About the Role
What you will do
- Own the process for building payer relationships, identifying payer requirements for connection, translating requirements into user stories for the development team, coordinating implementation and testing, and ensuring the payer connection is successful in production.
- Fill the role of subject matter expert in relation to prior authorizations and notice of admission both in terms of payer requirements and overall business requirements to successfully manage prior authorizations between providers and payers.
- Identify and document the correct method of submission and status for prior authorizations to payers based on the payer requirement for specific service or CPT code including EDI 278 215/217, UMO payer portal, or Fax.
- Document payer portal prior authorization workflows for robotic process automation and work with the RPA development team to build and test new payer portal prior auth automations.
- Define and monitor key metrics for prior authorization connectivity, including transaction turnaround time, error rates, and customer satisfaction
- Maintain up-to-date knowledge of regulatory requirements impacting prior authorization processes and ensure compliance in all payer connections
- Become an expert in the upcoming Da Vinci FHIR prior authorization standards and work with development and business teams to ensure successful transition to FHIR
- Work with payers and providers to establish FHIR connections for Prior Auth
- Collaborate with the development team and clearinghouse team to establish EDI connections to payers
- Collaborate closely with development, QA, UX, and other cross-functional teams to ensure deliverables meet customer and business expectations.
- Engage directly with customers and internal stakeholders to elicit and understand business needs, pain points, and desired outcomes.
- Triage errors and issues that arise and work and collaborate with other teams to resolve as needed to resolve the issues.
- Prioritize the payer connection backlog based on business value, customer impact, and development capacity, ensuring alignment with strategic goals.
- Apply critical thinking to streamline processes and work towards continual improvement and efficiency
- Maintain and prioritize the user story backlog and work with development and stakeholder teams to refine user stories to meet the Definition of Ready for development
- Work with the scrum team to ensure all tasks are completed and the committed objectives are achieved
What you will bring
- Subject matter expert knowledge of healthcare prior authorizations and notice of admission processes on the provider, payer, and UMO sides.
- 2+ years of experience working with prior authorization submissions and status to payers and UMOs
- Knowledge of Da Vinci FHIR and ability to become a Da Vinci FHIR subject matter expert
- Strong skills in creating detailed requirements, user stories, and acceptance criteria.
- Strong analytical and critical thinking skills to solve complex business problems.
- Provide guidance and direction to the technology teams during the development cycle and participate in all scrum ceremonies. Be available and ready to make quick, well-informed team-level decisions on behalf of stakeholders and the business
- Ability to train others and share knowledge across teams
- Excellent written and verbal communication skills, excellent inter-personal skills with the ability to bridge business and technical environments, and ability to build professional relationships
- Ability to quickly learn complex systems and understand product architecture and development frameworks.
What we would like to see
- Bachelor's degree in a related field
- Experience working directly with healthcare providers, payers, or RCM vendors.
- Experience in Agile Scrum and SAFe development methodologies
- Healthcare revenue cycle management knowledge specifically related to prior authorizations
- Knowledge of healthcare EDI transactions including 278 215/216/217, 837, 835, 276/277, 270/271, and 275 EDI transactions
About FinThrive
FinThrive is advancing the healthcare economy.
For the most recent information on FinThrive's vision for healthcare revenue management visit /why-finthrive.
Award-winning Culture of Customer-centricity and Reliability
At FinThrive we're proud of our agile and committed culture, which makes FinThrive an exceptional place to work. Explore our latest workplace recognitions at careers#culture.
Our Perks and Benefits
FinThrive is committed to continually enhancing the colleague experience by actively seeking new perks and benefits. For the most up-to-date offerings visit /careers-benefits.
FinThrive's Core Values and Expectations
- Demonstrate integrity and ethics in day-to-day tasks and decision making, adhere to FinThrive's core values of being Customer-Centric, Agile, Reliable and Engaged, operate effectively in the FinThrive environment and the environment of the work group, maintain a focus on self-development and seek out continuous feedback and learning opportunities
- Support FinThrive's Compliance Program by adhering to policies and procedures pertaining to HIPAA, FCRA, GLBA and other laws applicable to FinThrive's business practices; this includes becoming familiar with FinThrive's Code of Ethics, attending training as required, notifying management or FinThrive's Helpline when there is a compliance concern or incident, HIPAA-compliant handling of patient information, and demonstrable awareness of confidentiality obligations
Physical Demands
The physical demands and work environment characteristics described here are representative of those that a colleague must meet to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Statement of EEO
FinThrive values diversity and belonging and is proud to be an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're committed to providing reasonable accommodation for qualified applicants with disabilities in our job application and recruitment process.
FinThrive Privacy Notice for California Resident Job Candidates
Know Your Rights
Pay Transparency Notice
FinThrive is an Equal Opportunity Employer and ensures its employment decisions comply with principles embodied in Title VII, the Age Discrimination in Employment Act, the Rehabilitation Act of 1973, the Vietnam Veterans Readjustment Assistance Act of 1974, Executive Order 11246, Revised Order Number 4, and applicable state regulations.
2024 FinThrive. All rights reserved. The FinThrive name, products, associated trademarks and logos are owned by FinThrive or related entities. RV092724TJO
| FinThrive Careers | FinThrive Benefits & Perks | Physical Demands
Assures the maintenance and optimal utilization of charge master tools, such as FinThrive, Knowledge Source, and CDM Manager.
Explores and assists in implementing charge capture workflow enhancements, service line charge capture optimization, and consistent charge structure and rate setting according to industry and organizational standards and payer contracts and guidelines.
Minimum Job Requirements: Work Experience: Two years of experience in Revenue Integrity, Chargemaster, or related experience required, with a preference for experience in the healthcare industry.
License/Registration/Certification: Certified Coding Specialist (CCS), Certified Coding Specialist–Physician Based (CCS-P), or Certified Professional Coder (CPC) required; or completion of certification within two years in the position Education and Training: Associates degree in related field required.
Bachelor’s degree in related field preferred.
Skills: Demonstrated proficiency in CPT, HCPCS, and ICD-10 coding, and familiarity withRevenue Code assignment and medical terminology.
Proficiency in Microsoft Word and intermediate Excel skills.
Proficiency in CDM tools such as MedAssets, FinThrive, and Craneware.
Ability to research charge capture and regulatory compliance subjects and issues and to interpret and disseminate information.
