Ensemble Health Partners · 10 hours ago
Accounts Receivable Specialist
United States
Full-time
Remote
Entry Level
$16.50/hr - $18.15/hr
1+ years expEnsemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems. The Accounts Receivable Specialist is responsible for following up with payers to resolve claim payment issues and ensure timely reimbursement, while analyzing denials and payment variances.
Health CareHospitality
Responsibilities
Examines denied and other non-paid claims to determine the reason for discrepancies
Communicates directly with payers to follow up on outstanding claims, files technical and clinical appeals, resolves payment variances, and ensures timely and accurate reimbursement
Ability to identify specific reasons for underpayments, denials, and cause of payment delay. Works with management to identify, trend, and address root causes of issues in the A/R
Maintains a thorough understanding of federal and state regulations, as well as payer specific requirements and takes appropriate action accordingly
Documents all activity accurately including contact names, addresses, phone numbers, and other pertinent information in the client’s host system and/or appropriate tracking system
Demonstrates initiative and resourcefulness by making recommendations and communicating trends and issues to management
Needs to be a strong problem solver and critical thinker to resolve accounts
Qualification
Required
Must demonstrate basic computer knowledge and demonstrate proficiency in Microsoft Excel
Excellent Verbal skills
Problem solving skills, the ability to look at accounts and determine a plan of action for collection
Critical thinking skills, the ability to comprehend tools provided for securing payment, and apply them to differing accounts to result in payment
Adaptability to changing procedures and growing environment
Meet quality and productivity standards within timelines set forth in policies
Meet required attendance policies
Preferred
2 or 4-year college degree
1 or more years of relevant experience in medical collections, physician/hospital operations, AR Follow-up, denials & appeals, compliance, provider relations or professional billing preferred
Knowledge of claims review and analysis
Working knowledge of revenue cycle
Experience working the DDE Medicare system and using payer websites to investigate claim statuses
Working knowledge of medical terminology and/or insurance claim terminology
Benefits
Bonus Incentives
Paid Certifications
Tuition Reimbursement
Comprehensive Benefits
Career Advancement
Company
Ensemble Health Partners
Ensemble Health Partners is the leading revenue cycle management company for hospitals, health systems and physician practices.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
unknown2022-03-25Private Equity
2019-05-30Acquired
Leadership Team
Judson Ivy
Founder and CEO
Matt Tormey
EVP Compliance and Risk
Recent News
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