Revenue Recovery Specialist II

🔥 0 minutes ago

🌴 South Carolina – Remote

🌴 South Carolina – Remote

💵 $20 - $22 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

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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

• Research and analyze accounts to identify and recover underpayments • Determine and complete the appropriate action needed to recover underpayments • Follow up on underpayments through recovery of outstanding monies • Communicate directly with payors regarding outstanding underpayments • File underpayment appeals with payors • Resolve account variances and ensure timely and accurate recovery • Identify root causes of underpayments, denials, and delayed payments • Work with client teams to identify, document, and address accounts receivable issues • Maintain understanding of applicable state and federal insurance regulations and payor-specific requirements • Document activity accurately in client host systems, Ensemble IQ, or other tracking systems • Make recommendations and communicate trends and issues to management • Resolve underpayments using problem-solving and critical-thinking skills • Meet productivity and quality standards established by Ensemble and Revenue Recovery leadership • Develop strong working relationships with client teams and Contract Management counterparts • Work assigned reports and tasks

🎯 Requirements

• One (1) to three (3) years of experience in the hospital or physician insurance industry, or elsewhere in the revenue cycle, strongly preferred • High school diploma or GED desired • 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 • Must reside in and be authorized to work within the United States

🏖️ Benefits

• Bonus Incentives • Paid Certifications • Tuition Reimbursement • Comprehensive Benefits, including healthcare, time off, retirement, and well-being programs • Career Advancement • Professional development opportunities • Professional certification relevant to the associate’s field • Quarterly and annual incentive programs • Work-life flexibility • Remote work