Accounts Receivable Specialist

Ensemble Health Partners • Work at Home - Oklahoma - Other, OK

26d • $17 - $19 • Remote

About The Position

Ensemble is a provider of technology-enabled revenue cycle management solutions for health systems, hospitals, and affiliated physician groups. The Accounts Receivable Specialist follows up with commercial, governmental, and other payers to resolve claim payment issues and secure appropriate, timely reimbursement. The role analyzes denials, payment variances, and claims receiving no response, and takes action to resolve accounts, including drafting and submitting technical and clinical appeals. It also supports denial, no-response, and audit activities.

This is an entry-level career opportunity paying $16.50–$18.65 per hour based on experience. It is remote, but the employee must be willing and able to travel to and work onsite at client, temporary, or corporate office locations when business needs require. The role is limited to individuals residing and authorized to work in the United States.

Requirements

• Basic computer knowledge and proficiency in Microsoft Excel.
• Excellent verbal skills.
• Problem-solving skills, including the ability to assess accounts and determine a collection plan.
• Critical-thinking skills and 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 required 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

• A 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 status.
• Working knowledge of medical terminology and/or insurance claim terminology.

Responsibilities

• Examine denied and other non-paid claims to determine the reasons for discrepancies.
• Contact payers to follow up on outstanding claims, file technical and clinical appeals, resolve payment variances, and support timely and accurate reimbursement.
• Identify reasons for underpayments, denials, and payment delays; work with management to identify, trend, 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 activity, including contact names, addresses, phone numbers, and other pertinent 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, productivity, and attendance standards and timelines.
• Explore innovative processes, including the use of AI, to reduce friction and improve patient and client experiences.

Benefits

• Bonus incentives and quarterly and annual incentive programs.
• Paid professional certifications.
• Tuition reimbursement.
• Comprehensive benefits, including healthcare, time off, retirement, and well-being programs.
• Professional development and career advancement opportunities.

What This Job Offers

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