Revenue Recovery Specialist (Physicians)

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

The Opportunity:

The Revenue Recovery Specialist is a subject matter expert and is responsible for the maximization of reimbursement by identifying contractual variances between posted and expected reimbursement for managed care, government contracts, and other various payors. This responsibility encompasses contractual reimbursement analysis and communication of payment discrepancies to internal and external departments. Identify trends in underpayment/overpayments, denials, revenue opportunities and revenue leakage. Evaluate trends with analysis and judgement to work towards resolutions and improvement of revenue cycle processes. Analyze and interpret contract reimbursement and provide feedback to management staff as required. Review large amounts of remittance data looking for charge/billing opportunities for revenue optimization
Essential Job Functions:

• Research and identify payment discrepancies from various sources
• Compile and analyze data to make recommendations
• Work with financial and clinical departments collaboratively
• Review contract validation, updates, and interpretation
• Resolve underpaid claims in an effective and timely fashion
• Analysis of payor policies and exercising and interpretation of impact on reimbursement
• Present data and effectively communicate to various levels of end users
• Ensure account analysis is validated prior to distribution
• Work on multiple projects/initiatives at a time
• Maintain applicable continuing education requirements

Requirements:

• 3-5 years of relevant job experience in the Physicians insurance industry required
• Keen understanding of the revenue cycle and opportunity for uncollected revenue required.

Minimum Education

• Highschool, GED, Equivalent experience

Certifications:

• CRCR certification within 9 months of hire

Join an award-winning company

Three-time winner of “Best in KLAS” 2020-2022

2022 Top Workplaces Healthcare Industry Award

2022 Top Workplaces USA Award

2022 Top Workplaces Culture Excellence Awards

• Innovation

• Work-Life Flexibility

• Leadership

• Purpose + Values

Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:

• 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. 

• Our Culture – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.  

• 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. 

Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws.  Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.

Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact [email protected].

This posting addresses state specific requirements to provide pay transparency.  Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position.  A candidate entry rate of pay does not typically fall at the minimum or maximum of the role’s range.

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