Senior Revenue Recovery Specialist

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:

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CAREER OPPORTUNITY OFFERING:

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement
• This position pays between $19.75 - $24.20/hr based on experience

The Revenue Recovery Analyst will be responsible for working with a team of associates that research and analyze accounts to ensure that underpayments are identified and recovered.  The Analyst will determine the appropriate action needed to recover the underpayment, complete the action, and follow up on the underpayment through recovery of the outstanding monies.  Duties include identifying and recovering underpayments on patient accounts.  The Analyst will develop a strong working relationship with the client team and counterparts in Contract Management and will work reports and assigned tasked as they are assigned.  The Analyst will have the ability to find underpayments through both prediction rules and special assignments as required by leadership.  The position will require the ability to multitask within the client team.

Essential Job Functions:

• 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 with minimal direction.

• 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, independently solving problems.

• Meet all productivity and quality standards as established by Ensemble and

• Identify underpayments through both automated and manual means.

• Multitask within the client team.

Job Experience:

Three (3) to five (5) years of experience in the hospital or physician insurance industry, or elsewhere in the revenue cycle, required.

Desired Education Level: High school diploma or GED.

Preferred Knowledge, Skills:

• Excellent verbal and written communication skills.
• Profession 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.

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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 i