Revenue Recovery Analyst I (Physicians)

Thank you for considering a career at Ensemble Health Partners!

Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.

Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!

O.N.E Purpose:

• Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.

• Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.

• Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.

The Opportunity:

­­­­CAREER OPPORTUNITY OFFERING:

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement
• This position pays between $45,000.00 - $81,750.00/based on experience

The Revenue Recovery Analyst is a subject matter expert and is responsible for the maximization of reimbursement by identifying contractual variances between posted and expected reimbursement for managed care, government contracts, and other various payors. This responsibility encompasses contractual reimbursement analysis and communication of payment discrepancies to internal and external departments. Identify trends in underpayment/overpayments, denials, revenue opportunities and revenue leakage. Evaluate trends with analysis and judgement to work towards resolutions and improvement of revenue cycle processes. Analyze and interpret contract reimbursement and provide feedback to management staff as required. Review large amounts of remittance data looking for charge/billing opportunities for revenue optimization

Essential Job Functions:

• 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

Requirements:

• 3-5 years of relevant job experience in the Physicians insurance industry required
• Keen understanding of the revenue cycle and opportunity for uncollected revenue required.

Minimum Education

• Highschool, GED, Equivalent experience

Certifications:

• CRCR certification within 9 months of hire

Join an award-winning company

Five-time winner of “Best in KLAS” 2020-2022, 2024-2025

Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024

22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024

Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024

Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023

Energage Top Workplaces USA 2022-2024

Fortune Media Best Workplaces in Healthcare 2024

Monster Top Workplace for Remote Work 2024

Great Place to Work certified 2023-2024

• Innovation

• Work-Life Flexibility

• Leadership

• Purpose + Values

Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:

• 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. 
• Our Culture <