Accounts Receivable Specialist

Ensemble; United States; Remote; USD 23,000 - 26,000; Full time

Benefits offered by this job

Bonus Incentives

Paid Certifications

Tuition Reimbursement

Comprehensive Benefits

Career Advancement

Associate Benefits

Job summary

Ensemble Health Partners is seeking an Accounts Receivable Specialist to follow up with commercial, governmental, and other payers to resolve claim payment issues and secure timely reimbursement. You will analyze denials, payment variances, and no-response claims and draft technical and clinical appeals.

The role requires basic computer skills, proficiency in Microsoft Excel, strong verbal communication, and solid problem-solving abilities. Some travel to client sites may be required.

Qualifications

• Must demonstrate basic computer knowledge and proficiency in Microsoft Excel.
• Excellent verbal skills.
• Problem solving abilities to plan action for collections.
• Critical thinking to apply tools for securing payment.
• Adaptability to changing procedures and growing environment.
• Meet quality and productivity standards within policies.
• Must be willing to innovate, including AI to improve processes.

Responsibilities

• Examines denied or unpaid claims to determine reasons for discrepancies.
• Follows up with payers on outstanding claims and files appeals.
• Identifies reasons for underpayments and delays in payment.
• Works with management to identify and address root causes in AR.
• Maintains understanding of regulations and payer requirements.
• Documents all activity in client host system or tracking system.
• Communicates trends and issues to management.

Skills

Excel proficiency

Excellent verbal skills

Problem solving

Critical thinking

Adaptability

Attendance policies

AI innovation openness

Education

College degree

Job description

About Ensemble

Thank you for considering a career at Ensemble! Ensemble 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.

Our Purpose and Principles

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.

Opportunity

ENTRY LEVEL CAREER OPPORTUNITY OFFERING: Bonus Incentives, Paid Certifications, Tuition Reimbursement, Comprehensive Benefits, Career Advancement.

This position pays between $16.50 - $18.65/hr based on experience.

Position Summary

Accounts Receivable Specialist is responsible for following up directly with commercial, governmental, and other payers to resolve claim payment issues, to secure appropriate and timely reimbursement and response. Identifies and analyzes denials, payment variances, and no response claims and acts to resolve claims/accounts, including drafting and submitting technical and clinical appeals. Provides support for all denial, no response, and audit activities.

Essential Job Duties

• Examines denied and other non-paid claims to determine the reason for discrepancies.


• Communicates directly with payers to follow up on outstanding claims, files technical and clinical appeals, resolves payment variances, and ensures timely and accurate reimbursement.


• Ability to identify specific reasons for underpayments, denials, and cause of payment delay.


• Works with management to identify, trend, and address root causes of issues in the A/R.


• Maintains a thorough understanding of federal and state regulations, as well as payer specific requirements and takes appropriate action accordingly.


• Documents all activity accurately including contact names, addresses, phone numbers, and other pertinent information in the client’s host system and/or appropriate tracking system.


• Demonstrates initiative and resourcefulness by making recommendations and communicating trends and issues to management.


• Needs to be a strong problem solver and critical thinker to resolve accounts.

Expected Knowledge, Skills and Abilities

• Must demonstrate basic computer knowledge and demonstrate proficiency in Microsoft Excel.


• Excellent verbal skills.


• Problem solving skills, the ability to look at accounts and determine a plan of action for collection.


• Critical thinking skills, the ability to comprehend tools provided for securing payment, and apply them to differing accounts to result in payment.


• Adaptability to changing procedures and growing environment.


• Meet quality and productivity standards within timelines set forth in policies.


• Meet required attendance policies.


• Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.

Preferred Knowledge, Skills, and Abilities

• 2 or 4-year college degree.


• 1 or more years of relevant experience in medical collections, physician/hospital operations, AR Follow-up, denials & appeals, compliance, provider relations or professional billing.


• Knowledge of claims review and analysis.


• Working knowledge of revenue cycle.


• Experience working the DDE Medicare system and using payer websites to investigate claim statuses.


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

Benefits and Recognition

• 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.


• Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.


• Quarterly and annual incentive programs.

Remote Work

This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require.

Company Culture

Ensemble 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 also prohibits harassment of applicants or employees based on any of these protected categories.

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. Applications generated from outside the United States will not be considered. Individuals may reapply when located within the United States.

Ensemble 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 [e-mail].

Ensemble is dedicated to providing our clients with experienced healthcare finance and revenue cycle professionals. We believe that our core values of trust, integrity, loyalty and service married with the belief that our work is worthwhile helps us build and sustain sincere relationships with our associates and clients.

If you are a passionate, dedicated and experienced revenue cycle, consulting or finance professional and seek career and personal growth, we would love to hear from you. We believe we foster an environment where talented individuals can excel and shine. Our team believes that people are the most important part of our success and that when we take care of our people, they pay it forward by providing our clients with excellent results and world-class service.

Join an award-winning company Five-time winner of “Best in KLAS” 2020-2022, 2024-2025 Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024 Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024 Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023 Energage Top Workplaces USA 2022-2024 Fortune Media Best Workplaces in Healthcare 2024 Monster Top Workplace for Remote Work 2024 Great Place to Work certified 2023-2024 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.