Ensemble Health Partners · 3 hours ago

Revenue Recovery Specialist (Physicians)

United States

Full-time

Remote

Mid Level

3+ years exp

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Responsibilities

Research and identify payment discrepancies from various sources

Compile and analyze data to make recommendations

Work with financial and clinical departments collaboratively

Review contract validation, updates, and interpretation

Resolve underpaid claims in an effective and timely fashion

Analysis of payor policies and exercising and interpretation of impact on reimbursement

Present data and effectively communicate to various levels of end users

Ensure account analysis is validated prior to distribution

Work on multiple projects/initiatives at a time

Maintain applicable continuing education requirements

Qualification

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Revenue Cycle ManagementContractual Reimbursement AnalysisCRCR CertificationData AnalysisPayment Discrepancies ResearchTrend AnalysisClaims ResolutionCollaboration with DepartmentsContinuing Education