Senior Accounts Receivable Specialist

Ensemble Health Partners

. Perform follow-up and denial activities .

Posted 9/28/2026full-timeUnited StatesSenior💰 $19 - $21 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in claims review and analysis, with a strong understanding of revenue cycle management and payer requirements. Proficient in resolving complex claims and denials while maintaining productivity and quality standards.

Highest-signal resume keywords

CRCR CertificationClaims Review And AnalysisRevenue Cycle ManagementMicrosoft Excel ProficiencyMedical Terminology Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims ReviewDenial ManagementAppeals SubmissionProblem-SolvingCritical ThinkingData DocumentationTrend AnalysisPayer CommunicationAR Follow-UpCompliance Knowledge

Soft Skills

Excellent Verbal SkillsAdaptabilityTeam MentoringCommunication SkillsMeeting Productivity Standards

Tools & Technologies

DDE Medicare SystemClient Host SystemsTracking SystemsPayer Websites

Certifications & Qualifications

CRCR CertificationJob-Relevant Certification

Industry Keywords

Medical CollectionsPhysician OperationsHospital OperationsDenials And AppealsProvider RelationsProfessional Billing

About the role

Key responsibilities & impact

Perform follow-up and denial activities
Follow up directly with commercial, governmental, and other payers to resolve claim payment issues and secure timely reimbursement
Identify trends in denied payments and changes in insurance company policies
Communicate with other departments to resolve denial issues
Submit technical and clinical appeals
Mentor AR Specialist team members and provide guidance on complex claims and appeals
Examine denied and non-paid claims to determine discrepancies
Resolve complex claims and recommend interventions to management
Follow up on clean claim delays and document issues in escalation spreadsheets
Identify, trend, and address root causes of underpayments, denials, and payment delays
Take meeting minutes for payer escalation calls and communicate key takeaways
Maintain understanding of federal and state regulations and payer requirements
Accurately document claim activity in client host and tracking systems
Review and manage escalations within the revenue cycle
Assist leadership with AR reduction, cash acceleration projects, and DIBS calls
Meet productivity and quality standards
Perform other assigned duties and projects

Requirements

What you’ll need

1 to 3 years of job experience
CRCR certification upon hire or within 9 months of hire, or another approved job-relevant certification
High School Diploma, GED, or Equivalent Experience
Basic computer knowledge
Proficiency in Microsoft Excel
Excellent verbal skills
Problem-solving skills
Critical-thinking skills
Adaptability to changing procedures and a growing environment
Ability to meet quality and productivity standards within established timelines
Ability to meet required attendance policies
Knowledge of claims review and analysis
Working knowledge of revenue cycle
Experience with the DDE Medicare system and payer websites preferred
Working knowledge of medical terminology and/or insurance claim terminology
Must reside in and be authorized to work within the United States
Must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require
Internal candidates must have met 120% productivity and 98% quality assurance in each of the previous 3 months
External candidates must meet quality and productivity standards by day 90
2- or 4-year college degree preferred
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

Benefits

Comp & perks

Bonus Incentives
Paid Certifications
Tuition Reimbursement
Comprehensive benefits package including healthcare, time off, retirement, and well-being programs
Professional certification relevant to the associate’s field
Career advancement opportunities
Quarterly and annual incentive programs
Work-life flexibility
Professional development opportunities
Remote work arrangement