Senior Analyst, Revenue Recovery

🔥 15 hours ago

🏈 Ohio – Remote

🏈 Ohio – Remote

💵 $66.3k - $99.5k / year

⏰ Full Time

🟠 Senior

🧐 Analyst

👻 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

• 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 resolution • Review large amounts of remittance data to locate charge or billing opportunities for revenue optimization • Communicate directly with payors regarding outstanding underpayments • File underpayment appeals and resolve account variances • Identify root causes of underpayments, denials, and delayed payments • Document activity in client host systems, Ensemble IQ, or other tracking systems • Compile and analyze data and report findings and trends to leadership • Collaborate with Managed Care, Billing, Coding, Revenue Integrity, and Payor Strategy departments • Assist with client and payor escalations • Use Ensemble IQ underpayment prediction rules to identify underpayments • Complete assigned projects and self-directed initiatives • Mentor associates and serve as a subject matter expert • Meet productivity and quality standards

🎯 Requirements

• CRCR (Certified Revenue Cycle Representative) required within 9 months of hire • 5 to 7 years of people leadership experience • Minimum of five (5) years of experience in the hospital or physician insurance industry, or elsewhere in the revenue cycle, required • Keen and proven understanding of the revenue cycle and identification of underpaid accounts • High school diploma or GED required • Excellent verbal and written communication skills • Exceptional customer service • Ability to adapt to multiple client host systems • Experience with and ability to operate in Microsoft Office suite of programs • Ability to maintain understanding of applicable state and federal insurance regulations and payor-specific requirements • Bachelor’s degree preferred, but not required

🏖️ Benefits

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