ARO Strategy Rep I

Job Title : ARO Strategy Representative I

Department : Accounts Receivable Optimization (ARO)

Reports To : ARO Supervisor / Manager

Impact You Will Make

As an ARO Strategy Representative I, you will play a key role in resolving basic eligibility-related denials by verifying patient coverage and benefits with payers. You will build foundational knowledge of insurance requirements and contribute to the timely and accurate resolution of eligibility issues that directly impact claims reimbursement and revenue cycle performance.

Key Responsibilities

• Navigate the ARO platform and payer portals to manage assigned eligibility denial accounts.
• Verify patient coverage, eligibility dates, and policy details with insurance carriers.
• Identify and document root causes of eligibility denials (e.g., inactive coverage, coordination of benefits, incorrect payer).
• Update and correct insurance information and resubmit claims as appropriate.
• Collaborate with internal team members to ensure timely and accurate resolution of accounts.
• Apply appropriate status codes and follow-up indicators in the system.
• Escalate complex or recurring issues to senior staff or leadership.
• Draft basic payer correspondence or appeals when necessary.
• Adhere to HIPAA regulations and internal compliance policies.

Qualifications

Preferred Qualifications

About FinThrive

FinThrive is advancing the healthcare economy.

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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.

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