Note: The job is a remote job and is open to candidates in USA. Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems. The Accounts Receivable Specialist is responsible for resolving claim payment issues, securing timely reimbursements, and analyzing denials and payment variances.
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
Skills
- 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
- Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences
- This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require
- 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 Overview
- Ensemble Health Partners is the leading revenue cycle management company for hospitals, health systems and physician practices. It was founded in 2014, and is headquartered in Cincinnati, Ohio, USA, with a workforce of 10001+ employees. Its website is https://ensemblehp.com.