Revenue Recovery Analyst

Posted 4 Days Ago
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Home City, Cincinnati, OH
Junior
Healthtech • Financial Services
The Role
The Revenue Recovery Analyst at Ensemble Health Partners conducts comprehensive reviews of payment variances and underpayments, analyzes remittance data, liaises with contract management, and identifies discrepancies in claims to optimize revenue capture. This role is essential for ensuring compliance with contract terms within the healthcare revenue cycle.
Summary Generated by Built In

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 Analyst will be responsible for working with a team of associates that research and analyze accounts to ensure that underpayments are identified and recovered. The Analyst 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 Analyst 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. The Analyst will have the ability find underpayments through both prediction rules and special assignments as required by leadership. The position will require the ability to multitask within the client team.

Job Competencies

Ensemble language

Essential Job Functions

  • 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 with minimal direction.
  • 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, independently solving problems.
  • Meet all productivity and quality standards as established by Ensemble and Revenue Recovery leadership.
  • Identify underpayments through both automated and manual means.
  • Multitask within the client team.

Legally Required License/Certification None

Ensemble Required License/Certification Ensemble language

Job Experience

Three (3) to five (5) years of experience in the hospital or physician insurance industry, or elsewhere in the revenue cycle, required.

People Leadership Experience N/A

Desired Education Level High school diploma or GED.

Preferred Areas of Study N/A

Other Preferred Knowledge, Skills + Abilities

  • 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.

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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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The Company
HQ: Cincinnati, OH
3,463 Employees
On-site Workplace
Year Founded: 2014

What We Do

Ensemble Health Partners is a leading innovator in revenue cycle management, helping healthcare providers improve financial outcomes and patient experiences with an unrivaled depth of expertise and best-in-class technologies. Ensemble offers full revenue cycle outsourcing as well as a comprehensive suite of healthcare financial management point solutions. With clients spanning the U.S. and Europe, we have been helping to improve healthcare outcomes for millions of patients while saving hundreds of millions of dollars for healthcare providers. We are committed to bringing every provider that we support to the peak of revenue cycle excellence. Our approach forges true partnerships that dive deep into the details to find solutions and deliver results that last. Recognized with multiple industry awards and as a Becker’s Healthcare Top Workplace, Ensemble is setting a new standard for provider support services - redefining the possible in healthcare by empowering people to be the difference.

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