Revenue Recovery Specialist II

This is a fully remote position, open to applicants in South Carolina.

📋 Description

• Conduct research and analysis on accounts to pinpoint and recover underpayments.

• Assess and execute the necessary actions to retrieve underpayments.

• Follow up on underpayments by recovering outstanding funds.

• Engage in direct communication with payors regarding pending underpayments.

• Submit underpayment appeals to payors.

• Address account discrepancies and ensure prompt and accurate recovery.

• Identify the underlying causes of underpayments, denials, and delayed payments.

• Collaborate with client teams to recognize, document, and resolve accounts receivable challenges.

• Stay informed about relevant state and federal insurance regulations and payor-specific guidelines.

• Accurately record activities in client host systems, Ensemble IQ, or other tracking platforms.

• Provide recommendations and communicate trends and issues to management.

• Utilize problem-solving and critical-thinking skills to resolve underpayments.

• Achieve productivity and quality benchmarks set by Ensemble and Revenue Recovery leadership.

• Foster strong working relationships with client teams and Contract Management counterparts.

• Manage assigned reports and tasks.

⛳️ Requirements

• One (1) to three (3) years of experience in the hospital or physician insurance industry, or other areas within the revenue cycle, is highly preferred.

• A high school diploma or GED is desired.

• Strong verbal and written communication skills.

• A professional demeanor.

• Outstanding customer service abilities.

• Capability to adapt to various client host systems.

• Integrity and honesty.

• A strong internal drive to succeed.

• Proficiency in using Microsoft Office suite of programs.

• Must be a resident of and authorized to work in the United States.

🏝️ Benefits

• Bonus Incentives.

• Paid Certifications.

• Tuition Reimbursement.

• Comprehensive Benefits, including healthcare, time off, retirement, and well-being programs.

• Career Advancement opportunities.

• Professional development initiatives.

• Relevant professional certification in the associate’s field.

• Quarterly and annual incentive programs.

• Work-life flexibility.

• Remote work options.