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Ensemble Health Partners

Innovation in Revenue Cycle Management

Accounts Receivable Associate Specialist

Accounts ReceivableAccounts ReceivableFull TimeRemoteMid LevelTeam 5,001-10,000H1B No SponsorCompany SiteLinkedIn

Location

Tennessee

Posted

29 days ago

Salary

$17 - $18 / hour

Seniority

Mid Level

High SchoolEnglish

Job Description

• Accounts Receivable Associate Specialist is responsible for following up directly with commercial, governmental, and other payers to resolve claim payment issues. • 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. • Works with management to identify, trend, and address root causes of issues in the A/R. • 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.

Job Requirements

  • Must demonstrate basic computer knowledge and demonstrate proficiency in Microsoft Excel.
  • Excellent Verbal skills.
  • 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.
  • Adaptability to changing procedures and growing environment.
  • Meet quality and productivity standards within timelines set forth in policies.
  • Meet required attendance policies.
  • Preferred: 2 or 4-year college degree.
  • Preferred: 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.
  • Preferred: Knowledge of claims review and analysis.
  • Preferred: Working knowledge of revenue cycle.
  • Preferred: Experience working the DDE Medicare system and using payer websites to investigate claim statuses.
  • Preferred: Working knowledge of medical terminology and/or insurance claim terminology.

Benefits

  • Bonus Incentives
  • Paid Certifications
  • Tuition Reimbursement
  • Comprehensive Benefits
  • Career Advancement

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