Account Receivable Specialist/ Billing Specialist

The Opportunity:

Job Description

Accounts Receivable Specialist:

Responsible for following up directly with commercial and governmental payers to resolve claim issues and secure appropriate and timely reimbursement. Identifies and analyzes denials and payment variances and takes action to resolve account including drafting and submitting technical appeals.

Examines denied and underpaid claims to determine reason for discrepancies. Communicates directly with payers to follow up on outstanding claims, file technical appeals, resolve payment variances, and ensure timely reimbursement. Ability to identify with specific reason underpayments, denials, and cause of payment delay. Works with management to identify, trend, and address root causes of issues in the A/R. Maintains a thorough understanding of federal and state regulations, as well as payer specific requirements and taken appropriate action accordingly. Documents activity accurately including contact names, addresses, phone numbers, and other pertinent information. Demonstrates initiative and resourcefulness by making recommendations and communicating trends and issues to management. Needs to be a strong problem solver and critical thinker to resolve accounts. Must meet productivity and quality standards.

Performs other duties as assigned

Minimum Years and Type of Experience: High School Diploma

Other Knowledge, Skills and Abilities Required: Must demonstrate basic computer knowledge and demonstrate proficiency in Microsoft Excel. Must pass typing test of 35 words per minute (error adjusted). Excellent Verbal skills. Problem solving skills, the ability to look at account 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. Adaptability to changing procedures and growing environment.

Other Knowledge, Skills and Abilities Preferred: 2 or 4 year degree. 1-3 years of relevant experience in medical collections or professional billing preferred. Knowledge of claims review and analysis. Working knowledge of revenue cycle. Experience working the DDE Medicare system. Working knowledge of medical terminology and/or insurance claim terminology.

Certifications: CRCR within 6 months hire.

Ensemble Health Partners is an equal employment opportunity employer. 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.  Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.

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Join an award-winning company

Three-time winner of “Best in KLAS” 2020-2022

2022 Top Workplaces Healthcare Industry Award

2022 Top Workplaces USA Award

2022 Top Workplaces Culture Excellence Awards

• Innovation

• Work-Life Flexibility

• Leadership

• Purpose + Values

Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:

• Benefit packages - We offer a variety of medical plans, retirement options, and 401k options.
• Wellness Programs – Are designed to help our associates enhance their health, including a comprehensive annual health risk assessment.
• Our Culture – Ensemble’s Associate Engagement Committee facilitates fundraising, community outreach and DEI events throughout the year.
• Growth – We invest in your professional development. Each associate receives a professional certification relevant to their field and can obtain tuition reimbursement.
• Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.

Ensemble Health Partners 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 our Human Resources Department at HumanResources@EnsemblepHP.com. This department will make sure you get connected to a Human Resources representative that can assist you.

Learn more about Ensemble Health Partners