Revenue Recovery Associate Analyst I

🔥 12 hours ago

🌴 South Carolina – Remote

🌴 South Carolina – Remote

💵 $45k - $81.8k / year

⏰ Full Time

🟡 Mid-level

🧐 Analyst

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Ensemble Health Partners

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

💼 Consulting

🛡️ Insurance

📦 Logistics

💰 Private Equity Round on 2022-03

Consulting • Insurance • Logistics

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

• Maximize insurance reimbursement by identifying contractual variances between posted payments and expected reimbursement • Analyze contractual reimbursement and communicate payment discrepancies to internal and external departments • Identify trends in underpayments and determine effective paths to resolve underpayments and improve the revenue cycle • Analyze and interpret contract reimbursement and provide feedback to leadership • Review remittance data to locate charge or billing opportunities for revenue optimization • Communicate with payors about outstanding underpayments • File underpayment appeals and resolve account variances • Identify root causes of underpayments, denials, and delayed payments • Work with client teams to document and address accounts receivable root causes • Apply state and federal insurance regulations and payor-specific requirements • Document activity in client host systems, Ensemble IQ, or other tracking systems • Recommend improvements and communicate trends and issues to management • Meet productivity and quality standards • Compile and analyze data and report findings to leadership • Collaborate with Managed Care, Billing, Coding, Revenue Integrity, and Payor Strategy departments • Manage multiple projects, reports, and tasks in a fast-paced, KPI-driven environment

🎯 Requirements

• Minimum five (5) years of experience in the hospital or physician insurance industry, or elsewhere in the revenue cycle • Keen and proven understanding of the revenue cycle and identification of underpaid accounts • High school diploma or GED required • Bachelor’s degree preferred, but not 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 management of teams using AI for process and technological improvements • Must reside and be authorized to work within the United States • Must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require

🏖️ Benefits

• Bonus Incentives • Paid Certifications • Tuition Reimbursement • Comprehensive benefits including healthcare, time off, retirement, and well-being programs • Professional development • Quarterly and annual incentive programs • Remote work flexibility

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