Senior Accounts Receivable Specialist

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: We are seeking our next Senior Accounts Receivable Specialist Champion.
The Senior Specialist, Accounts Receivable performs all follow up and denial activities.
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 trends in denied payments by insurance companies to remediate issues, identifies changes with insurance company policies to ensure compliant billing, communicates with other departments to resolve denial issues and submits technical and clinical appeals in a timely manner.
Will mentor the AR Specialist team members to help develop and improve their skills in the follow up, denials and appeals process.
Follows up on clean claim delays from payors and adds issues to the escalation spreadsheets.
Assists leadership with special projects for AR reduction and Cash Acceleration.
Job Responsibilities: Mentors AR Specialist team members to help develop and improve their skills in the denials and appeals process.
Examines denied and other non-paid claims to determine reason for discrepancies.
Demonstrates initiative in resolving complex claims and proactively makes recommendations to management on specific trends or necessary interventions.
Communicates directly with payers to follow up on outstanding claims, files technical and clinical appeals, resolve payment variances, and ensures timely and accurate reimbursement.
Provides guidance to other team members on resolving complex claims and filing appeals.
Ability to identify with specific reason underpayments, denials, and cause of payment delay.
Works with management to identify, trend, and address root causes of issues in the A/R.
Takes meeting minutes for payor escalation calls and provides feedback to the AR associates key takeaways from the calls.
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.
Reviews escalations from other areas to AR as well as accounts that require escalation to other areas of Revenue Cycle.
Assists the supervisor with DIBS calls as needed.
Needs to be a strong problem solver and critical thinker to resolve accounts.
Must meet productivity and quality standards as established by Ensemble.
Performs other duties as assigned, including projects.
Expected Knowledge, Skills and Abilities Must demonstrate basic computer knowledge and demonstrate proficiency in Microsoft Excel.
Must meet quality and productivity standards by day 90.
Excellent Verbal skills.
Problem solving skills, the ability to look at account 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.
Requirements: 1+ year of Accounts Receivable experience High School Diploma, GED, or Equivalent Experience 2 or 4-year college degree preferred 1 or more years of relevant experience in medical collections, physician/hospital operations, AR Follow-up, denials & appeals, compliance, provider relations or professional billing preferred.
Certifications: CRCR, either upon hire or within 9 months of hire.
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 TA@ensemblehp.
com.
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