• Communicate directly with payors to follow up on outstanding underpayments, file underpayment appeals with payors, resolve account variance and ensure timely and accurate recovery of underpayments. • Identify root cause of underpayments, denials, and delayed payments to clients. • Work with the client team to identify, document, and address root causes of issues in the A/R. • Maintain a thorough understanding of applicable state and federal insurance regulations as well as payor specific requirements, taking actions on underpayments accordingly. • Document all activity accurately with all pertinent information in the client’s host system, Ensemble IQ, or other appropriate tracking system. • Demonstrate initiative and resourcefulness by making recommendations and communicating trends and issues to management. • Operate as a strong problem solver and critical thinker to resolve underpayments. • Meet all productivity and quality standards as established by Ensemble and Revenue Recovery leadership. • Compile and analyze data to identify underpayments, and trends in the underpayments and report to leadership findings in a timely and consistent manner. • Work collaboratively with other departments, including Managed Care, Billing, Coding, Revenue Integrity, and Payor Strategy. • Work multiple projects, reports, and tasks efficiently in a fast-paced, KPI-driven, atmosphere autonomously.