Revenue Recovery Analyst

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

The Opportunity:

The Revenue Recovery Analyst performs payment variance deep dive and review activities related to the incorrect processing of claims across Ensemble Health Partners.

Job duties:

• 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

Revenue Recovery Analysts review large amounts of remittance data and analyze utilizing databases and modeling tools to identify areas of payment variance to contract or revenue optimization opportunities and take steps appeals and corrected claims to resolve and capture the contractual underpayments. Items identified are referred to the Underpayment Specialists for follow-up after identification and initial step to resolution.

Required Minimum Education:

• High school diploma or GED

Minimum Years and Type of Experience:

• 1-2 years' experience in healthcare industry.
• Experience in physician and hospital operations, compliance and provider relations. Managed Care contracting experience.
• Revenue Recovery & Underpayment experience required.

Required Certifications:

• CRCR within 9 months of hire

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Join an award-winning company

Three-time winner of “Best in KLAS” 2020-2022

2022 Top Workplaces Healthcare Industry Award

2022 Top Workplaces USA Award

2022 Top Workplaces Culture Excellence Awards

• 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 – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.  
• 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. 

Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws.  Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.

Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact TA@ensemblehp.com.

This posting addresses state specific requi