Revenue Recovery Specialist II

Job Description:

• Research and analyze accounts to identify and recover underpayments
• Determine and complete the appropriate action needed to recover underpayments
• Follow up on underpayments through recovery of outstanding monies
• Communicate directly with payors regarding outstanding underpayments
• File underpayment appeals with payors
• Resolve account variances and ensure timely and accurate recovery
• Identify root causes of underpayments, denials, and delayed payments
• Work with client teams to identify, document, and address accounts receivable issues
• Maintain understanding of applicable state and federal insurance regulations and payor-specific requirements
• Document activity accurately in client host systems, Ensemble IQ, or other tracking systems
• Make recommendations and communicate trends and issues to management
• Resolve underpayments using problem-solving and critical-thinking skills
• Meet productivity and quality standards established by Ensemble and Revenue Recovery leadership
• Develop strong working relationships with client teams and Contract Management counterparts
• Work assigned reports and tasks

Requirements:

• One (1) to three (3) years of experience in the hospital or physician insurance industry, or elsewhere in the revenue cycle, strongly preferred
• High school diploma or GED desired
• Excellent verbal and written communication skills
• Professional presence
• Exceptional customer service
• Ability to adapt to multiple client host systems
• Integrity and honesty
• Internal drive to succeed
• Experience with and ability to operate in Microsoft Office suite of programs
• Must reside in and be authorized to work within the United States

Benefits:

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