Physicians - Accounts Receivable Associate Specialist

Ensemble Health Partners • Work at Home - Tennessee - Other, TN

26d • $17 - $19 • Remote

About The Position

The Accounts Receivable Associate Specialist follows up with commercial, governmental, and other payers to resolve claim payment issues and secure appropriate, timely reimbursement and responses. The role identifies and analyzes denials, payment variances, and claims without responses, then takes action to resolve claims and accounts, including drafting and submitting technical and clinical appeals. It also supports denial, no-response, and audit activities.

This is an entry-level remote role. The successful candidate must be willing and able to travel to and work onsite at client, temporary, or corporate office locations when business needs require. The position pays $17.00–$18.65 per hour based on experience.

Requirements

• Basic computer knowledge and proficiency in Microsoft Excel.
• Excellent verbal skills.
• Problem-solving skills, including the ability to review accounts and determine a collection action plan.
• Critical-thinking skills, including the ability to understand and apply payment tools to different accounts.
• Adaptability to changing procedures and a growing environment.
• Ability to meet quality and productivity standards within established timelines.
• Ability to meet attendance policies.
• Inquisitiveness and openness to innovation, including AI.
• Must reside and be authorized to work in the United States.
• Must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require.

Nice To Haves

• Two- or four-year college degree.
• One or more years of relevant experience in medical collections, physician or hospital operations, accounts receivable follow-up, denials and appeals, compliance, provider relations, or professional billing.
• Knowledge of claims review and analysis.
• Working knowledge of revenue cycle.
• Experience using the DDE Medicare system and payer websites to investigate claim statuses.
• Working knowledge of medical terminology and/or insurance claim terminology.

Responsibilities

• Examine denied and other unpaid claims to determine the reason for discrepancies.
• Contact payers to follow up on outstanding claims, submit technical and clinical appeals, resolve payment variances, and help ensure timely and accurate reimbursement.
• Identify reasons for underpayments, denials, and payment delays, and work with management to identify, track, and address root causes of accounts receivable issues.
• Maintain an understanding of federal and state regulations and payer-specific requirements, and take appropriate action.
• Accurately document claim activity and relevant contact information in the client’s host system or an appropriate tracking system.
• Make recommendations and communicate trends and issues to management.
• Resolve accounts using problem-solving and critical-thinking skills.
• Meet quality and productivity standards within established timelines and comply with attendance policies.
• Remain open to innovation, including AI, to explore improved processes and reduce friction for patients and clients.

Benefits

• Comprehensive benefits package, including healthcare, time off, retirement, and well-being programs.
• Bonus incentives and quarterly and annual incentive programs.
• Paid professional certifications relevant to the associate’s field.
• Tuition reimbursement.
• Professional development and career advancement opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed