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Ensemble

Senior Revenue Recovery Specialist

RemoteUnited States only
Published
Role
Operations
Experience
Mid
$22.45–$24.7/hr
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No BS summary

Senior Revenue Recovery Specialist with 3-5 years of hospital or physician insurance industry experience, responsible for identifying and recovering underpayments on patient accounts. Remote role with travel to client sites as needed. Pays $22.45-$24.70/hr.

Core skills

Revenue cycle managementUnderpayment recoveryInsurance Claims

Required skills

Insurance claims processingMicrosoft Office

Optional skills

Excellent verbal and written communication skillsProfessional presenceExceptional customer serviceAbility to adapt to multiple client host systemsIntegrity and honestyInternal drive to succeedExperience with and ability to operate in Microsoft Office suite of programs

What you'll do

  • 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 with minimal direction.
  • 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, independently solving problems.
  • Meet all productivity and quality standards as established by Ensemble and Identify underpayments through both automated and manual means.
  • Multitask within the client team.

What they require

  • Three (3) to five (5) years of experience in the hospital or physician insurance industry, or elsewhere in the revenue cycle, required.
  • Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.
  • High school diploma or GED (desired).

Benefits

  • Bonus Incentives
  • Paid Certifications
  • Tuition Reimbursement
  • Comprehensive Benefits
  • Career Advancement
  • Healthcare, time off, retirement, and well-being programs
  • Quarterly and annual incentive programs

Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups.

HealthcareEnterpriseensemble-mouvement.com/

What people say about this company

3.4/ 5

$22.45–$24.7/hr