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Ensemble Health Partners · 1 day ago

Revenue Recovery Analyst I

United States

Full-time

Remote

Senior Level

$45K/yr - $82K/yr

5+ years exp

Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems. The Revenue Recovery Analyst I is responsible for maximizing insurance reimbursement by identifying contractual variances and communicating payment discrepancies, while also analyzing underpayments and collaborating with various departments to enhance the revenue cycle.

Health CareHospitality

Responsibilities

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

Qualification

Revenue cycle managementContractual reimbursement analysisInsurance regulations knowledgeData analysisMicrosoft Office proficiencyCustomer serviceCommunication skillsProblem solvingCritical thinking

Required

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

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

Preferred

Bachelor's degree preferred, but not required

Benefits

Bonus Incentives

Paid Certifications

Tuition Reimbursement

Comprehensive Benefits

Career Advancement

Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.

Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.

Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.