Associate Clearinghouse Specialist

FinThrive
United States
Apr 01, 2025
About the Role Impact you will make The Associate Clearinghouse Specialist is responsible for the day to day support and oversight of payer connectivity for clients. This position assists in supporting the functions of our clearing house operations while focusing on the highest level of client satisfaction through quick and correct resolution or triaging of cases and timely interaction with clients and payors. What you will do Facilitate enrollment of Electronic Data Interchange (EDI) and Trading Partner Agreement (TPA) forms required to submit claims and retrieve reports on behalf of clients Manage setup and maintenance of payor connections including assignment of Payor Codes, Receiver IDs, and Payor IDs Coordinate and oversee provider enrollments with various payors Assist with claim batching configuration and setup Assist with Payor connectivity testing Acquire, understand, and follow submission and retrieval instructions Work with Clearinghouse production resources to set up connectivity in the production environment Conduct root cause analysis, problem solve, and follow up on issues to resolution Maintain organized and detailed notes with timely status updates on all issues Escalate issues when resolution is not being reached Assist with Client implementations Assist with maintaining internal payor library Assist with ANSI 5010 file issues Develop working relationships and communications with external EDI departments Coordinate and provide timely status on issues or projects to all involved teams Gain knowledgeable of internal control responsibilities through training and instruction What you will bring Professional motivation, steadiness, and dedication and the ability to develop and maintain successful, long-term, relationships with key industry/client contacts Exceptional oral communication, presentation and writing skills Proficiency in Microsoft Office (Word, Excel, PowerPoint and Outlook) Demonstrated organizational, problem solving, and analytical skills Demonstrated ability to work in a team environment that requires quick turnaround and quality output Travel Required: None What we would like to see Past or similar experience in a healthcare billing office Knowledge of hospital revenue cycle Bachelor's Degree 2+ years Healthcare industry experience Understanding of hospital revenue cycle 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. 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