Revenue Recovery Associate Analyst I

Summary

Ensemble Health Partners provides technology-enabled revenue cycle management solutions for health systems. The Revenue Recovery Associate Analyst I maximizes insurance reimbursement by identifying contractual payment variances, analyzing underpayments, communicating discrepancies, and supporting resolution and revenue cycle improvements.

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
• Compile and analyze data to identify underpayments, and trends in the underpayments and report to leadership findings in a timely and consistent manner
• Work collaboratively with other departments, including Managed Care, Billing, Coding, Revenue Integrity, and Payor Strategy
• Work multiple projects, reports, and tasks efficiently in a fast-paced, KPI-driven, atmosphere autonomously

Skills

• Minimum five (5) years of experience in the hospital or physician insurance industry, or elsewhere in the revenue cycle, required
• Applicants must have a keen and proven understanding of the revenue cycle and the identification of underpaid accounts
• High school diploma or GED required
• 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
• Demonstrated advanced usage of AI and the management of teams using AI to lean in to process and technological improvements, to include the exploration, experimentation, and application of AI
• Due to business, operational, payroll, and regulatory requirements, this position is limited to individuals who reside and are authorized to work within the United States
• Bachelor's degree preferred

Qualifications

Must Haves

• Minimum five (5) years of experience in the hospital or physician insurance industry, or elsewhere in the revenue cycle, required
• Applicants must have a keen and proven understanding of the revenue cycle and the identification of underpaid accounts
• High school diploma or GED required
• 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
• Demonstrated advanced usage of AI and the management of teams using AI to lean in to process and technological improvements, to include the exploration, experimentation, and application of AI
• Due to business, operational, payroll, and regulatory requirements, this position is limited to individuals who reside and are authorized to work within the United States

Nice to Haves

• Bachelor's degree preferred

Benefits

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive benefits package including healthcare, time off, retirement, and well-being programs for associates and their families
• Career advancement
• Remote position
• Professional development
• Each associate will earn a professional certification relevant to their field
• Quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company