Ensemble Health Partners · 3 days ago

Revenue Recovery Analyst (Physicians)

United States

Full-time

Remote

Entry Level

1+ years exp

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Responsibilities

Understanding insurance contract terms

Reviewing underpayments to determine if additional payment amounts can be requested

Identifying trends in payment discrepancies amongst payers

Auditing closed balance and write-off claims to ensure accuracy of payment to contract

Reviewing contract terms for revenue capture and maximization per billing and coding guidelines

Working with contract management to identify opportunities when negotiating contracts with payers

Qualification

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Revenue Recovery ExperienceUnderpayment AnalysisInsurance Contract UnderstandingHealthcare Industry ExperienceManaged Care ContractingCRCR CertificationAuditing SkillsData AnalysisBillingCoding GuidelinesCompliance KnowledgeProvider Relations

Required

High school diploma or GED

1-2 years' experience in healthcare industry.

Experience in physician operations, compliance and provider relations.

Managed Care contracting experience.

Revenue Recovery & Underpayment experience required.

CRCR within 9 months of hire

Benefits

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

Tuition reimbursement

Quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company