Ensemble Health Partners

Revenue Recovery Analyst I

Ensemble Health Partners

full-time

Posted on:

Location Type: Remote

Location: United States

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Salary

💰 $45,000 - $81,750 per year

About the role

  • Communicate directly with payors to follow up on outstanding underpayments, file underpayment appeals with payors, resolve account variance and ensure timely and accurate recovery of underpayments.
  • Identify root cause of underpayments, denials, and delayed payments to clients.
  • Work with the client team to identify, document, and address root causes of issues in the A/R.
  • Maintain a thorough understanding of applicable state and federal insurance regulations as well as payor specific requirements, taking actions on underpayments accordingly.
  • Document all activity accurately with all pertinent information in the client’s host system, Ensemble IQ, or other appropriate tracking system.
  • Demonstrate initiative and resourcefulness by making recommendations and communicating trends and issues to management.
  • Operate as a strong problem solver and critical thinker to resolve underpayments.
  • Meet all productivity and quality standards as established by Ensemble and Revenue Recovery leadership.
  • Compile and analyze data to identify underpayments, and trends in the underpayments and report to leadership findings in a timely and consistent manner.
  • Work collaboratively with other departments, including Managed Care, Billing, Coding, Revenue Integrity, and Payor Strategy.
  • Work multiple projects, reports, and tasks efficiently in a fast-paced, KPI-driven, atmosphere autonomously.

Requirements

  • Minimum five (5) years of experience in the hospital or physician insurance industry, or elsewhere in the revenue cycle, required.
  • Excellent verbal and written communication skills.
  • Profession presence.
  • Exceptional customer service.
  • Ability to adapt to multiple client host systems.
  • Integrity and honesty.
  • Internal drive to succeed.
  • Experience with and ability to operate in Microsoft Office suite of programs.
  • Bachelor’s degree preferred, but not required. High school diploma or GED required.
Benefits
  • Bonus Incentives
  • Paid Certifications
  • Tuition Reimbursement
  • Comprehensive Benefits
  • Career Advancement
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
underpayment appealsaccount variance resolutiondata analysisroot cause analysisproblem solvingcritical thinkingproductivity standardsquality standards
Soft Skills
communication skillsprofessional presencecustomer serviceintegrityhonestyinternal driveinitiativeresourcefulnesscollaborationadaptability