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Quality Analyst- AR Recovery
Quality Analyst- AR RecoveryFinThrive • Plano, Texas, United States
Quality Analyst- AR Recovery

Quality Analyst- AR Recovery

FinThrive • Plano, Texas, United States
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Quality Audit AR Recovery

Position Summary :

We're looking for a detail-oriented Quality Auditor with a strong background in medical billing and hospital revenue cycle operations. In this role, you'll audit patient accounts to ensure they're being worked correctly, following both payer requirements and internal SOPs. This includes validating status accuracy, billing actions, and follow-up decisions. You'll be responsible for identifying trends, catching errors, and making sure the team is using the ARO platform correctly-a key tool used across multiple FinThrive-supported projects.

Key Responsibilities :

  • Audit accounts across the revenue cycle (billing, follow-up, denials, payment posting) to ensure accurate and appropriate handling
  • Identify errors and flag them for correction
  • Ensure proper and consistent use of the ARO platform, including validating that teams are following platform guidelines and project-specific workflows
  • Review documentation and actions taken by team members within ARO to ensure compliance with customer and FinThrive SOPs and FinThrive's expectations
  • Collaborate with supervisors and team leads to deliver feedback and coaching where needed
  • Track audit findings and escalate recurring issues or process gaps
  • Stay up to date on payer guidelines, medical billing regulations, and updates within the ARO system
  • Identify and propose training needs based on audits

Qualifications :

  • 3-5 years of experience in hospital revenue cycle operations (billing, follow-up, or denial resolution)
  • Solid knowledge of Hospital medical billing processes, EOBs, and insurance workflows
  • Familiarity with CARC / RARC codes and common payer denial reasons
  • Excellent attention to detail, time management, and communication skills
  • Proficient in Microsoft Excel, Word, etc.
  • Knowledge of Epic, Cerner, Meditech, or other billing systems is a plus
  • High school diploma or GED required
  • Good communication skills - able to provide clear, constructive feedback and collaborate across teams
  • Nice to have Qualifications :

  • Prior experience in quality assurance or account auditing
  • Experience working in or auditing within the ARO platform preferred
  • About FinThrive

    FinThrive is advancing the healthcare economy.

    For the most recent information on FinThrive's vision for healthcare revenue management visit finthrive.com / 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 finthrive.com / 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.com | FinThrive Careers | FinThrive Benefits & Perks | Physical Demands

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