Revenue Recovery Specialist II
Career Opportunity
CAREER OPPORTUNITY OFFERING:
- Bonus Incentives
- Paid Certifications
- Tuition Reimbursement
- Comprehensive Benefits
- Career Advancement
Pay & Schedule
This position pays between $20.45 - $22.50/hr based on experience.
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.
Requirements
- One to three years of experience in the hospital or physician insurance industry, or elsewhere in the revenue cycle, strongly preferred.
- A high school diploma or GED.
- Preferred Knowledge, Skills + Abilities:
- 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.
Qualifications
- Experience with and ability to operate in Microsoft Office suite of programs.
Benefits
- 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.
- Professional certification relevant to their field and can obtain tuition reimbursement.
- Quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.
About the Role
Ensemble 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!
Company Information
The company is recognized for its excellence in the industry, having won awards such as:
- 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
Ensemble is committed to creating a supportive and inclusive environment where associates can thrive. They provide reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law.