Ensemble Health Partners is a leading innovator in revenue cycle management, helping healthcare providers improve financial outcomes and patient experiences with an unrivaled depth of expertise and best-in-class technologies. Ensemble offers full revenue cycle outsourcing as well as a comprehensive suite of healthcare financial management point solutions. With clients spanning the U.S. and Europe, we have been helping to improve healthcare outcomes for millions of patients while saving hundreds of millions of dollars for healthcare providers. Recognized with multiple industry awards and as a Becker’s Healthcare Top Workplace, Ensemble is setting a new standard for provider support services – redefining the possible in healthcare by empowering people to be the difference.
The Underpayment Specialist performs payment variance activities related to the incorrect processing of claims.
Job duties include, but are not limited to:
- Understanding insurance contract terms
- Reviewing underpayments to determine if additional payment amounts can be requested
- Identifying trends in payment discrepancies amongst payers
- Auditing correct payment amounts to ensure accuracy of contract
- Working with contract management to identify opportunities when negotiating contracts with payers
Underpayment Specialists receive their work from variances validated through the contract management software or the closed balance audit process. Items are referred to their for follow-up and collection via appeal or reconsideration.
Required Minimum Education: 2 Yr. Associates Degree, specialty/major: Business or relevant discipline
Minimum Years and Type of Experience: 1-2 years experience in healthcare industry.
Skills and Abilities Preferred: Experience in physician and hospital operations, compliance and provider relations. Managed Care contracting experience preferred.
Certifications: CRCR within 6 months of hire.
This position will be a part of the revenue cycle team at Ensemble Health Partners. For more information about Ensemble please apply.
Scheduled Weekly Hours:
40
Work Shift:
We’ll also reward your hard work with:
- Great health, dental and vision plans
- Prescription drug coverage
- Flexible spending accounts
- Life insurance w/AD&D
- Paid time off
- Tuition reimbursement
- And a lot more
Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact our Human Resources Department at 877-692-7780 or [email protected] . This department will make sure you get connected to a Human Resources representative that can assist you.
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