Ensemble Health Partners
5001 - 10000 employees
⚕️ Healthcare Insurance
☁️ SaaS
🏢 Enterprise
💰 Private Equity Round on 2022-03
Healthcare Insurance • SaaS • Enterprise
Ensemble Health Partners is a leading provider of revenue cycle management (RCM) services for healthcare organizations. They offer an end-to-end RCM solution that helps hospitals, health systems, and affiliated physician groups optimize their revenue cycles, reduce denials and underpayments, and enhance patient experiences using a combination of expert management and advanced technology. Ensemble Health Partners leverages certified operators and AI to deliver consistent results, improve collections, and support future growth for healthcare providers. They are recognized for their robust client partnerships and commitment to delivering reliable revenue lift and cost savings for their clients.
Accounts Receivable Specialist
🔥 16 minutes ago
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Ensemble Health Partners
5001 - 10000 employees
⚕️ Healthcare Insurance
☁️ SaaS
🏢 Enterprise
💰 Private Equity Round on 2022-03
Healthcare Insurance • SaaS • Enterprise
Ensemble Health Partners is a leading provider of revenue cycle management (RCM) services for healthcare organizations. They offer an end-to-end RCM solution that helps hospitals, health systems, and affiliated physician groups optimize their revenue cycles, reduce denials and underpayments, and enhance patient experiences using a combination of expert management and advanced technology. Ensemble Health Partners leverages certified operators and AI to deliver consistent results, improve collections, and support future growth for healthcare providers. They are recognized for their robust client partnerships and commitment to delivering reliable revenue lift and cost savings for their clients.
📋 Description
• Accounts Receivable Specialist is responsible for following up directly with commercial, governmental, and other payers to resolve claim payment issues, to secure appropriate and timely reimbursement and response. • Identifies and analyzes denials, payment variances, and no response claims and acts to resolve claims/accounts, including drafting and submitting technical and clinical appeals. • Provides support for all denial, no response, and audit activities. • Examines denied and other non-paid claims to determine the reason for discrepancies. • Communicates directly with payers to follow up on outstanding claims, files technical and clinical appeals, resolves payment variances, and ensures timely and accurate reimbursement.
🎯 Requirements
• 1 or more years of relevant experience in medical collections, physician/hospital operations, AR Follow-up, denials & appeals, compliance, provider relations or professional billing preferred. • Must demonstrate basic computer knowledge and demonstrate proficiency in Microsoft Excel. • Excellent Verbal skills. • Problem solving skills, the ability to look at accounts and determine a plan of action for collection. • Critical thinking skills, the ability to comprehend tools provided for securing payment, and apply them to differing accounts to result in payment. • Adaptability to changing procedures and growing environment.
🏖️ Benefits
• Bonus Incentives • Paid Certifications • Tuition Reimbursement • Comprehensive Benefits • Career Advancement
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