Physicians - Accounts Receivable Associate Specialist

About the Role

The Accounts Receivable Associate Specialist role is an entry-level position that offers opportunities for career advancement and professional growth. You will have the chance to work with a talented team of professionals who are dedicated to excellence and innovation. If you are a highly motivated and organized individual with excellent analytical and communication skills, this role may be an ideal fit for you.

Ensemble Health Partners is committed to empowering its employees to challenge the status quo and strive for excellence. The company's culture is built on a foundation of customer obsession, embracing new ideas, and a relentless pursuit of outstanding results. As an Accounts Receivable Associate Specialist, you will be expected to embody these values and contribute to the company's mission of keeping communities healthy by keeping hospitals healthy.

What You Will Do

• Examine denied and other non-paid claims to determine the reason for discrepancies
• Communicate directly with payers to follow up on outstanding claims, file technical and clinical appeals, and resolve payment variances
• Identify and analyze denials, payment variances, and no-response claims to resolve claims/accounts
• Draft and submit technical and clinical appeals to secure reimbursement
• Provide support for all denial, no-response, and audit activities
• Work with management to identify, trend, and address root causes of issues in the A/R
• Maintain a thorough understanding of federal and state regulations, as well as payer-specific requirements
• Document all activity accurately, including contact names, addresses, phone numbers, and other pertinent information
• Demonstrate initiative and resourcefulness by making recommendations and communicating trends and issues to management
• Meet quality and productivity standards within timelines set forth in policies

What We Are Looking For

• Basic computer knowledge and proficiency in Microsoft Excel
• Excellent verbal skills and ability to communicate effectively with payers and internal stakeholders
• Problem-solving skills and ability to look at accounts and determine a plan of action for collection
• Critical thinking skills and ability to comprehend tools provided for securing payment
• Adaptability to changing procedures and growing environment
• Ability to meet quality and productivity standards within timelines set forth in policies
• 1 or more years of relevant experience in medical collections, physician/hospital operations, A/R follow-up, denials, and appeals
• 2 or 4-year college degree preferred

Nice to Have

• Experience with AI and emerging technologies in revenue cycle management
• Knowledge of federal and state regulations governing healthcare reimbursement
• Certification in medical billing and coding or revenue cycle management

Benefits and Perks

• Competitive hourly rate
• Bonus incentives for outstanding performance
• Paid certifications and training programs
• Tuition reimbursement for continuing education
• Comprehensive benefits package, including medical, dental, and vision coverage
• Remote work arrangement with flexible scheduling
• Opportunities for career advancement and professional growth

• Be prepared to provide specific examples of your experience with revenue cycle management and accounts receivable
• Develop a strong understanding of federal and state regulations governing healthcare reimbursement
• Highlight your analytical and problem-solving skills, as well as your ability to communicate effectively with payers and internal stakeholders
• Be prepared to discuss your experience with Microsoft Excel and other software applications relevant to the role
• Show enthusiasm for the company's mission and values, and be prepared to explain how you embody them in your work
• Research the company's culture and be prepared to ask informed questions during the interview process
• Be prepared to negotiate salary and benefits, and have a clear understanding of your worth in the market