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Ensemble Health Partners

End-to-end revenue cycle management for hospitals

Accounts Receivable Specialist

Accounts Payable/ReceivableConfirmed live in the last 24 hours
Full-timeRemote in USA

About the Job

Requirements

  • Demonstrate basic computer knowledge and proficiency in Microsoft Excel.
  • Use verbal skills to communicate effectively.
  • Apply problem-solving skills to accounts and determine a collection plan of action.
  • Use critical thinking to understand tools for securing payment and apply them to different accounts to obtain payment.
  • Adapt to changing procedures and a growing environment.
  • Meet quality and productivity standards within timelines established by policies.
  • Meet required attendance policies.
  • Demonstrate curiosity and openness to innovation, including artificial intelligence, to explore improved processes and reduce friction for patients and clients.
  • Be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require.
  • Preferred: Have a 2- or 4-year college degree.
  • Preferred: Have one or more years of relevant experience in medical collections, physician or hospital operations, accounts receivable follow-up, denials and appeals, compliance, provider relations, or professional billing.
  • Preferred: Have knowledge of claims review and analysis.
  • Preferred: Have working knowledge of revenue cycle.
  • Preferred: Have experience working with the DDE Medicare system and using payer websites to investigate claim statuses.
  • Preferred: Have working knowledge of medical terminology and/or insurance claim terminology.

Responsibilities

  • Follow up directly with commercial, governmental, and other payers to resolve claim payment issues and secure appropriate, timely reimbursement and responses.
  • Identify and analyze denials, payment variances, and claims with no response, and resolve claims and accounts, including drafting and submitting technical and clinical appeals.
  • Support denial, no-response, and audit activities.
  • Examine denied and other unpaid claims to determine the reasons for discrepancies.
  • Communicate directly with payers to follow up on outstanding claims, submit technical and clinical appeals, resolve payment variances, and ensure timely and accurate reimbursement.
  • Identify reasons for underpayments, denials, and payment delays; work with management to identify, trend, and address root causes of accounts receivable issues.
  • Maintain an understanding of federal and state regulations and payer-specific requirements, and take appropriate action.
  • Accurately document activity, including contact names, addresses, phone numbers, and other relevant information, in the client host system and/or an appropriate tracking system.
  • Make recommendations and communicate trends and issues to management.

About the Company

Ensemble Health Partners

End-to-end revenue cycle management for hospitals

Ensemble Health Partners provides end-to-end revenue cycle management for hospitals and health systems. It handles the entire process from patient intake to final payment, with teams and technology embedded into the provider's operations and a revenue model tied to performance improvements. The company uses its proprietary EIQ platform (analytics, AI, and workflow automation) to optimize revenue cycle processes, reduce insurance denials, and speed cash collection, managing more than $39 billion in net patient revenue. Its approach differentiates it by being a true managed-services partner with full accountability for financial outcomes and a track record of meeting initial client goals. The overarching goal is to improve healthcare providers’ financial performance so they can focus on patient care.

Company size
5,001-10,000
Company stage
Not listed
Total funding
Not listed
Headquarters
Cincinnati, OH
Founded
2014

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