[Hiring] Revenue Recovery Associate Analyst I @Ensemble Health Partners

Role Description

The Analyst I is a subject matter expert responsible for maximizing insurance reimbursement by identifying contractual variances between posted payments and expected reimbursement for managed care, government payors, and other payors as needed. Responsibilities include:

• Contractual reimbursement analysis and communication of payment discrepancies to both internal and external departments.
• Identifying trends in underpayments and determining effective paths to resolution.
• Analyzing and interpreting contract reimbursement and providing feedback to leadership as required.
• Reviewing large amounts of remittance data to locate charge or billing opportunities for revenue optimization.

Essential Job Functions

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

Qualifications

• Minimum five (5) years of experience in the hospital or physician insurance industry, or elsewhere in the revenue cycle.
• Proven understanding of the revenue cycle and identification of underpaid accounts.
• Bachelor’s degree preferred, but not required; high school diploma or GED required.

Requirements

• Excellent verbal and written communication skills.
• Professional presence and exceptional customer service.
• Ability to adapt to multiple client host systems.
• Integrity and honesty.
• Internal drive to succeed.
• Experience with Microsoft Office suite of programs.
• Demonstrated advanced usage of AI and management of teams using AI for process and technological improvements.
• Willingness to travel to and work onsite at client, temporary, or corporate office locations as business needs require.

Benefits

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