What you will do The following are essential tasks of the Rep III (Senior Analyst) position. Daily job duties are not limited to the list below.

- Ability to create projects in Government Reimbursement Manager™
- Utilize MAC portals to complete MBI lookups
- Run projects in Revenue Opportunity Manager™ and produce results once complete.
- Capability to review return results to ensure project ran successful through HETS and CWF
- Recognize discrepancies between current project and previous projects and alert Lead for further investigation
- Identify accounts in Government Reimbursement Manager™ that need calls and research completed
- Make IVR calls on potential reimbursable claims
- Calls to MAC’s and review in Medicare portals
- Calls to Home Health Agencies and Skilled Nursing Facilities
- Review of external medical records and resources to identify a transfer, and receiving facility information
- Rebill accounts through Medicare portal as well as monitor for claims that have been returned or rejected to guarantee prompt correction and resolution
- Complete payment scrape to identify corrected claims that have paid additional reimbursement.
- Execute existing SQL queries to create monthly logs for Medicare Advantage patients
- Use CMS tools to complete estimated additional reimbursements for eligible claims
- Establish and maintain login credentials for Medicare systems used by colleagues
- Other duties as assigned

What you will bring
- Bachelor's degree
- Intermediate Microsoft Suite skills (Ex: Excel and SQL)
- Strong analytical skills and ability to multi-task with attention to detail and accuracy
- Ability to interact effectively with peers, management and customers




- Proficient in communication, research and critical thinking
- Ability to manage tasks independently, work quickly, take ownership of responsibilities and meet deadlines
- Highly comfortable in a team setting
- Process driven, yet adaptable to change when necessary
- Experience working multiple projects at once
- Excellent organizational skills

What we would like to see
- Experience with Epic, Meditech, McKesson or Cerner EHRs and/or exposure to Healthcare Information
- Technology is a plus 1-2 years’ experience in Healthcare Revenue Cycle Management.
- 2+ years of experience in a healthcare related field
- Background in Medicare claims
- Experience standardizing and validating large data sets
- Ability to collect, organize, analyze, and disseminate significant amounts of information

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 https://finthrive.com/careers#culture

Our Perks and Benefits





FinThrive is committed to continually enhancing the colleague experience by actively seeking new perks and benefits.

· Professional development opportunities

· Term life, Accidental & Medical Insurance

· Meal and Transport arrangements

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 workgroup, 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 about HIPAA, GLBA, FCRA, 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.

FinThrive is an Equal Chance 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

📌 12724-Analyst_Reimbursement Solutions (Gurugram)
🏢 FinThrive
📍 Gurugram