Senior Revenue Recovery Specialist, Physicians

About Ensemble Health Partners

Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.

Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!

O.N.E Purpose:

• Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
• Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
• Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.

The Opportunity:

This Senior Revenue Recovery Specialist, Physicians position offers a dynamic career opportunity within Ensemble Health Partners, providing competitive compensation and a clear path for professional growth.

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

This position pays between $22.45 - $24.70/hr based on experience.

The Senior Revenue Recovery Specialist, Physicians will be responsible for working with a team of associates that research and analyze accounts to ensure that underpayments are identified and recovered. The Specialist will determine the appropriate action needed to recover the underpayment, complete the action, and follow up on the underpayment through recovery of the outstanding monies. Duties include identifying and recovering underpayments on patient accounts. The Specialist will develop a strong working relationship with the client team and counterparts in Contract Management and will work reports and assigned tasked as they are assigned. The Specialist will have the ability to find underpayments through both prediction rules and special assignments as required by leadership. The position will require the ability to multitask within the client team.

Essential Job Functions:

• 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 with minimal direction.
• 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, independently solving problems.
• Meet all productivity and quality standards as established by Ensemble.
• Identify underpayments through both automated and manual means.
• Multitask within the client team.

Job Experience:

• Three (3) to five (5) years of experience in the physician insurance industry or elsewhere in the revenue cycle, required.

Desired Education Level: High school diploma or GED.

Preferred Knowledge, Skills:

• 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.

Why Join Ensemble Health Partners?

Ensemble Health Partners is an award-winning company, consistently recognized for excellence in healthcare revenue cycle management and as a top workplace. They have received accolades such as:

• Five-time winner of “Best in KLAS” 2020-2022, 2024-2025
• Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024
• 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024
• Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024
• Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023
• Energage Top Workplaces USA 2022-2024
• Fortune Media Best Workplaces in Healthcare 2024
• Monster Top Workplace for Remote Work 2024
• Great Place to Work certified 2023-2024

They foster an environment of Innovation, Work-Life Flexibility, Strong Leadership, and clear Purpose + Values.

Benefits and Culture:

Ensemble believes in empowering people and providing them with the tools and resources needed to thrive.

• Associate Benefits – Comprehensive benefits package supporting physical, emotional, and financial health.
• Our Culture – A collaborative, growth-oriented, and innovative environment where people come first.
• Growth – Investment in professional development, including professional certification and tuition reimbursement.
• Recognition – Quarterly and annual incentive programs for outstanding performance.

Key skills/competency:

• Revenue Cycle Management
• Underpayment Recovery
• Payer Relations
• Medical Billing
• A/R Management
• Healthcare Regulations
• Problem Solving
• Communication Skills
• Client Host Systems
• Microsoft Office Suite