Revenue Recovery Associate Analyst I

🕒 il y a 15 jours

🌴 South Carolina – Distant

🌴 South Carolina – Remote

💵 $45 000 - $81 750 / an

⏰ Temps Plein

🟢 Junior

🟡 Intermédiaire

🧐 Analyste

🚫👨‍🎓 Aucun diplôme requis

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Ensemble Health Partners

Site WebLinkedInTous les Emplois

5001 - 10000 employés

⚕️ Assurance santé

☁️ SaaS

🏢 Entreprise

💰 Private Equity Round en 2022-03

Healthcare Insurance • SaaS • Enterprise

Ensemble Health Partners est un leader dans la fourniture de services de gestion du cycle de revenus (RCM) pour les organisations de santé. Ils offrent une solution RCM de bout en bout qui aide les hôpitaux, les systèmes de santé et les groupes de médecins affiliés à optimiser leurs cycles de revenus, réduire les refus et les sous-paiements, et améliorer l'expérience des patients grâce à une combinaison de gestion experte et de technologie avancée. Ensemble Health Partners s'appuie sur des opérateurs certifiés et l'IA pour fournir des résultats constants, améliorer les recouvrements et soutenir la croissance future des prestataires de soins de santé. Ils sont reconnus pour leurs solides partenariats clients et leur engagement à offrir une augmentation fiable des revenus et des économies de coûts pour leurs clients.

Description

• 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.

🎯 Exigences

• Minimum five (5) years of experience in the hospital or physician insurance industry, or elsewhere in the revenue cycle, required. • Applicants must have a keen and proven understanding of the revenue cycle and the identification of underpaid accounts. • Bachelor’s degree preferred, but not required. • High school diploma or GED required. • Excellent verbal and written communication skills. • Professional 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. • Demonstrated advanced usage of AI and the management of teams using AI to lean into process and technological improvements, to include the exploration, experimentation, and application of AI.

🏖️ Avantages

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