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Accounts Receivable Associate Specialist
Ensemble Health Partners. Follow up directly with commercial, governmental, and other payers to resolve claim payment issues .
About the role
Key responsibilities & impact- Follow up directly with commercial, governmental, and other payers to resolve claim payment issues
- Secure appropriate and timely reimbursement and response
- Identify and analyze denials, payment variances, and no-response claims
- Resolve claims and accounts, including drafting and submitting technical and clinical appeals
- Support denial, no-response, and audit activities
- Examine denied and other non-paid claims to determine reasons for discrepancies
- Communicate with payers regarding outstanding claims
- File technical and clinical appeals and resolve payment variances
- Identify reasons for underpayments, denials, and payment delays
- Work with management to identify, trend, and address root causes of accounts-receivable issues
- Apply federal, state, and payer-specific requirements
- Accurately document activity in client host and tracking systems
- Recommend improvements and communicate trends and issues to management
- Resolve accounts using problem-solving and critical-thinking skills
Requirements
What you’ll need- Basic computer knowledge
- Proficiency in Microsoft Excel
- Excellent verbal skills
- Problem-solving skills
- Critical thinking skills
- Adaptability to changing procedures and a growing environment
- Meet quality and productivity standards within established timelines
- Meet required attendance policies
- Openness to innovation, including AI
- Willingness and ability to travel to and work onsite at client, temporary, or corporate office locations as business needs require
- Knowledge of claims review and analysis
- Working knowledge of revenue cycle
- Experience working with the DDE Medicare system and payer websites preferred
- Working knowledge of medical terminology and/or insurance claim terminology
- 1 or more years of relevant experience in medical collections, physician/hospital operations, AR follow-up, denials and appeals, compliance, provider relations, or professional billing preferred
- 2- or 4-year college degree preferred
Benefits
Comp & perks- Bonus incentives
- Paid certifications
- Tuition reimbursement
- Comprehensive benefits including healthcare, time off, retirement, and well-being programs
- Professional development
- Quarterly and annual incentive programs
- Remote work arrangement
- Career advancement opportunities