Senior Revenue Recovery Specialist

🔥 0 minutes ago

🏈 Ohio – Remote

🏈 Ohio – Remote

💵 $22 - $24 / hour

⏰ Full Time

🟠 Senior

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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

• Responsible for working with a team of associates that research and analyze accounts to ensure that underpayments are identified and recovered. • Determine the appropriate action needed to recover the underpayment, complete the action, and follow up on the underpayment through recovery of the outstanding monies. • 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. • Document all activity accurately with all pertinent information in the client’s host system, Ensemble IQ, or other appropriate tracking system.

🎯 Requirements

• Three (3) to five (5) years of experience in the hospital or physician insurance industry, or elsewhere in the revenue cycle, required. • Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.

🏖️ Benefits

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