Revenue Recovery Associate Analyst I
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Job Description
Revenue Recovery Associate Analyst focused on maximizing insurance reimbursement for healthcare revenue cycle. Identifying contractual variances and collaborating with various departments to resolve underpayments.
Responsibilities:
- 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.
Requirements:
- Minimum five (5) years of experience in the hospital or physician insurance industry, or elsewhere in the revenue cycle, required.
- Applicants must have a keen and proven understanding of the revenue cycle and the identification of underpaid accounts.
- 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.
- Demonstrated advanced usage of AI and the management of teams using AI to lean in to process and technological improvements, to include the exploration, experimentation, and application of AI.
Benefits:
- Bonus Incentives
- Paid Certifications
- Tuition Reimbursement
- Comprehensive Benefits
- Career Advancement
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