Revenue Recovery Specialist II

Ensemble Health Partners•Columbia, SC

24d•$20 - $22

About The Position

Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners 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! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results. The Opportunity: CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $19.95 - $22.00/hr based on experience The Spec II Revenue Recovery will be responsible for researching and analyzing accounts to ensure that underpayments are identified and recovered. The Specialist will determine the appropriate action needed to recovery the underpayment, complete the action, and follow up on the underpayment through recovery of the outstanding monies. Duties include identifying and recovering underpayments on patient accounts. The Specialist will develop a strong working relationship with the client team and counterparts in Contract Management and will work reports and assigned tasked as they are assigned.

Requirements

One (1) to three (3) years of experience in the hospital or physician insurance industry, or elsewhere in the revenue cycle, strongly preferred.
High school diploma or GED.

Nice To Haves

Excellent verbal and written communication skills.
Profession presence.
Exceptional customer service.
Ability to adapt to multiple client host systems.
Integrity and honesty.
Internal drive to succeed.
Experience with and ability to operate in Microsoft Office suite of programs.

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.

Benefits

Bonus Incentives
Paid Certifications
Tuition Reimbursement
Comprehensive Benefits
Career Advancement
Associate Benefits – We offer a 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.
Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.

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