Accounts Receivable Specialist

🕒 July 10

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Ensemble Health Partners

WebsiteLinkedInAll Job Openings

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 • 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 • 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 • 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 • Meet quality and productivity standards within timelines • Meet required attendance policies

🏖️ Benefits

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