Revenue Recovery Analyst: Underpayments & Optimization

Ensemble Health Partners

Blue Ash (OH)

On-site

USD 66,000 - 99,000

Full time

3 days ago
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Benefits offered by this job

Bonus incentives
Paid certifications
Tuition reimbursement
Comprehensive benefits
Career advancement

Job summary

Ensemble Health Partners seeks an Sr Analyst, Revenue Recovery to maximize insurance reimbursement by analyzing contract variances and posting discrepancies across managed care and government payors. You’ll identify underpayments, communicate findings, and drive remediation with cross-team collaboration.

You will review large remittance data sets, identify trends, and mentor teammates while maintaining state and federal requirements.

Qualifications

  • Minimum of at least five (5) years of experience in hospital or physician insurance revenue cycle.
  • Excellent verbal and written communication skills.
  • CRCR certification required within 9 months of hire.
  • Ability to adapt to multiple client host systems.
  • Integrity, honesty and internal drive to succeed.

Responsibilities

  • Communicate with payors to follow up on underpayments and file appeals.
  • Resolve account variances and recover underpayments.
  • Identify root causes of underpayments, denials, and delays.
  • Document activity in Ensemble IQ and other tracking systems.
  • Mentor, lead client teams, and manage payor escalations.

Skills

Strong problem solving
Critical thinking
Communication skills
Microsoft Excel
Client interaction

Education

High school diploma or GED
Bachelor's degree preferred

Tools

Ensemble IQ
Excel
Microsoft Office

Job description

Ensemble Health Partners seeks an Sr Analyst, Revenue Recovery to maximize insurance reimbursement by analyzing contract variances and posting discrepancies across managed care and government payors. You’ll identify underpayments, communicate findings, and drive remediation with cross-team collaboration.

You will review large remittance data sets, identify trends, and mentor teammates while maintaining state and federal requirements.

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