Revenue Recovery Specialist II jobs in United States
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Ensemble Health Partners · 1 day ago

Revenue Recovery Specialist II

Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems. The Revenue Recovery Specialist II will be responsible for researching and analyzing accounts to identify and recover underpayments, ensuring timely and accurate recovery while maintaining strong relationships with clients and payors.

Health CareHospitality

Responsibilities

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
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
Meet all productivity and quality standards as established by Ensemble and Revenue Recovery leadership

Qualification

Revenue cycle managementInsurance regulations knowledgeProblem solvingMicrosoft OfficeCustomer serviceProfessional presenceVerbal communicationWritten communicationIntegrityAdaptability

Required

High school diploma or GED
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
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
Meet all productivity and quality standards as established by Ensemble and Revenue Recovery leadership

Preferred

One (1) to three (3) years of experience in the hospital or physician insurance industry, or elsewhere in the revenue cycle, strongly preferred
Excellent verbal and written communication skills
Professional 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

Benefits

Bonus Incentives
Paid Certifications
Tuition Reimbursement
Comprehensive Benefits
Career Advancement

Company

Ensemble Health Partners

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Ensemble Health Partners is the leading revenue cycle management company for hospitals, health systems and physician practices.

Funding

Current Stage
Late Stage
Total Funding
unknown
2022-03-25Private Equity
2019-05-30Acquired

Leadership Team

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Judson Ivy
Founder and CEO
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Matt Tormey
EVP Compliance and Risk
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Company data provided by crunchbase