[Remote] Accounts Receivable Specialist

Note: The job is a remote job and is open to candidates in USA. Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems. The Accounts Receivable Specialist is responsible for resolving claim payment issues, securing timely reimbursements, and analyzing denials and payment variances.ResponsibilitiesExamines denied and other non-paid claims to determine the reason for discrepanciesCommunicates directly with payers to follow up on outstanding claims, files technical and clinical appeals, resolves payment variances, and ensures timely and accurate reimbursementAbility 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/RMaintains a thorough understanding of federal and state regulations, as well as payer specific requirements and takes appropriate action accordinglyDocuments all activity accurately including contact names, addresses, phone numbers, and other pertinent information in the client’s host system and/or appropriate tracking systemDemonstrates initiative and resourcefulness by making recommendations and communicating trends and issues to managementNeeds to be a strong problem solver and critical thinker to resolve accountsSkillsMust demonstrate basic computer knowledge and demonstrate proficiency in Microsoft ExcelExcellent Verbal skillsProblem solving skills, the ability to look at accounts and determine a plan of action for collectionCritical thinking skills, the ability to comprehend tools provided for securing payment, and apply them to differing accounts to result in paymentAdaptability to changing procedures and growing environmentMeet quality and productivity standards within timelines set forth in policiesMeet required attendance policiesMust be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiencesThis 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 require2 or 4-year college degree1 or more years of relevant experience in medical collections, physician/hospital operations, AR Follow-up, denials & appeals, compliance, provider relations or professional billing preferredKnowledge of claims review and analysisWorking knowledge of revenue cycleExperience working the DDE Medicare system and using payer websites to investigate claim statusesWorking knowledge of medical terminology and/or insurance claim terminologyBenefitsBonus IncentivesPaid CertificationsTuition ReimbursementComprehensive BenefitsCareer AdvancementAssociate 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.Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.Company OverviewEnsemble Health Partners is the leading revenue cycle management company for hospitals, health systems and physician practices. It was founded in 2014, and is headquartered in Cincinnati, Ohio, USA, with a workforce of 10001+ employees. Its website is https://ensemblehp.com.