Senior Revenue Recovery Analyst

Ensemble Health Partners

United States

Remote

USD 66,000 - 99,000

Full time

14 days+

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Benefits offered by this job

Bonus Incentives
Paid Certifications
Tuition Reimbursement
Comprehensive Benefits
Career Advancement

Job summary

Ensemble Health Partners is seeking an Sr Analyst, Revenue Recovery to maximize insurance reimbursement by identifying contractual variances and analyzing remittance data for managed care and government payors. The role includes communicating payment discrepancies, identifying underpayments, and driving revenue cycle improvements.

The candidate will mentor the team, work with multiple departments, and support leadership in payor escalations while leveraging Ensemble IQ prediction rules and

Qualifications

  • Minimum of five (5) years of experience in the hospital or physician insurance industry.
  • CRCR certification within 9 months of hire.
  • Excellent verbal and written communication skills.
  • Professional presence with integrity and honesty.
  • Experience with and ability to operate in Microsoft Office suite of programs.

Responsibilities

  • Identify underpayments, denials, and delayed payments and determine effective paths to resolution.
  • Review remittance data to locate charge or billing opportunities for revenue optimization.
  • Communicate with payors to follow up on outstanding underpayments and file underpayment appeals as needed.
  • Mentor and provide subject matter guidance to team members.
  • Collaborate with client teams and other departments (Managed Care, Billing, Coding, Revenue Integrity, Payor Strategy).
  • Assist leadership with client and payor escalations and support initiatives.

Skills

Customer Obsession
Embracing New Ideas
Striving for Excellence

Education

High School Diploma/GED or equivalent
Bachelor's degree preferred

Tools

Microsoft Office

Job description

Ensemble Health Partners is seeking an Sr Analyst, Revenue Recovery to maximize insurance reimbursement by identifying contractual variances and analyzing remittance data for managed care and government payors. The role includes communicating payment discrepancies, identifying underpayments, and driving revenue cycle improvements.

The candidate will mentor the team, work with multiple departments, and support leadership in payor escalations while leveraging Ensemble IQ prediction rules and

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