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Senior Analyst, Revenue Recovery
Ensemble Health Partners. Maximize insurance reimbursement by identifying contractual variances between posted payments and expected reimbursement .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in revenue cycle management, particularly in identifying underpayments and resolving discrepancies. Proficient in data analysis and communication with payors to optimize reimbursement processes.
Highest-signal resume keywords
CRCR CertificationRevenue Cycle ManagementUnderpayment AnalysisData AnalysisPeople Leadership
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Contractual Reimbursement AnalysisRemittance Data ReviewUnderpayment AppealsBilling OptimizationTrend Identification
Soft Skills
Excellent Communication SkillsExceptional Customer ServiceMentoringAdaptability
Tools & Technologies
Ensemble IQMicrosoft Office SuiteClient Host Systems
Certifications & Qualifications
CRCR (Certified Revenue Cycle Representative)
Industry Keywords
Insurance ReimbursementPayor StrategyRevenue IntegrityHospital Insurance IndustryState and Federal Insurance Regulations
About the role
Key responsibilities & impact- Maximize insurance reimbursement by identifying contractual variances between posted payments and expected reimbursement
- Analyze contractual reimbursement and communicate payment discrepancies to internal and external departments
- Identify trends in underpayments and determine effective paths to resolution
- Review large amounts of remittance data to locate charge or billing opportunities for revenue optimization
- Communicate directly with payors regarding outstanding underpayments
- File underpayment appeals and resolve account variances
- Identify root causes of underpayments, denials, and delayed payments
- Document activity in client host systems, Ensemble IQ, or other tracking systems
- Compile and analyze data and report findings and trends to leadership
- Collaborate with Managed Care, Billing, Coding, Revenue Integrity, and Payor Strategy departments
- Assist with client and payor escalations
- Use Ensemble IQ underpayment prediction rules to identify underpayments
- Complete assigned projects and self-directed initiatives
- Mentor associates and serve as a subject matter expert
- Meet productivity and quality standards
Requirements
What you’ll need- CRCR (Certified Revenue Cycle Representative) required within 9 months of hire
- 5 to 7 years of people leadership experience
- Minimum of five (5) years of experience in the hospital or physician insurance industry, or elsewhere in the revenue cycle, required
- Keen and proven understanding of the revenue cycle and identification of underpaid accounts
- High school diploma or GED required
- Excellent verbal and written communication skills
- Exceptional customer service
- Ability to adapt to multiple client host systems
- Experience with and ability to operate in Microsoft Office suite of programs
- Ability to maintain understanding of applicable state and federal insurance regulations and payor-specific requirements
- Bachelor’s degree preferred, but not required
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
- Work-life flexibility
- Quarterly and annual incentive programs
- Career advancement opportunities
- Professional development and growth opportunities