Accounts Receivable Associate Specialist

🕒 May 21

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Logo of Ensemble Health Partners

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 Associate Specialist is responsible for following up directly with commercial, governmental, and other payers to resolve claim payment issues. • Identifies and analyzes denials, payment variances, and no response claims and acts to resolve claims/accounts. • Provides support for all denial, no response, and audit activities. • Communicates directly with payers to follow up on outstanding claims, files technical and clinical appeals, resolves payment variances, and ensures timely and accurate reimbursement. • Works with management to identify, trend, and address root causes of issues in the A/R. • Maintains a thorough understanding of federal and state regulations, as well as payer specific requirements.

🎯 Requirements

• 2 or 4-year college degree preferred • 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 • Critical thinking skills • Adaptability to changing procedures and growing environment. • 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.

🏖️ Benefits

• Remote Role • Bonus Incentives • Paid Certifications • Tuition Reimbursement • Comprehensive Benefits • Career Advancement

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