Accounts Receivable Credit & Collections Specialist

Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. 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. Customer Obsession:
ENTRY LEVEL CAREER OPPORTUNITY OFFERING:
Bonus Incentives
Tuition Reimbursement
Accounts Receivable Specialist is 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 and analyzes denials, payment variances, and no response claims and acts to resolve claims/accounts, including drafting and submitting technical and clinical appeals. Provides support for all denial, no response, and audit activities.
Examines denied and other non-paid claims to determine the reason for discrepancies.
Communicates directly with payers to follow up on outstanding claims, files technical and clinical appeals, resolves payment variances, and ensures timely and accurate reimbursement.
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.
Needs to be a strong problem solver and critical thinker to resolve accounts.
Must demonstrate basic computer knowledge and demonstrate proficiency in Microsoft Excel.
Problem solving skills, the ability to look at accounts 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.
Meet quality and productivity standards within timelines set forth in policies.
Meet required attendance policies.
This 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 require.
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.
Knowledge of claims review and analysis.
Experience working the DDE Medicare system and using payer websites to investigate claim statuses.
Working knowledge of medical terminology and/or insurance claim terminology.
Black Book Research's Top Revenue Cycle Management Outsourcing Solution
22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle
Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024
Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020,
Monster Top Workplace for Remote Work 2024
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.
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. Due to business, operational, payroll, and regulatory requirements, this position is limited to individuals who reside and are authorized to work within the United States. Applications generated from outside the United States will not be considered. Ensemble 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 equity;