Ensemble Health Partners
Blue Ash, Ohio
Accounts Receivable Specialist: Responsible for following up directly with commercial and governmental payers to resolve claim issues and secure appropriate and timely reimbursement. Identifies and analyzes denials and payment variances and takes action to resolve account including drafting and submitting technical appeals. Examines denied and underpaid claims to determine reason for discrepancies. Communicates directly with payers to follow up on outstanding claims, file technical appeals, resolve payment variances, and ensure timely reimbursement. Ability to identify with specific reason underpayments, denials, and cause of payment delay. Works with management to identify, trend, and address root causes of issues in the A/R. Maintains a thorough understanding of federal and state regulations, as well as payer specific requirements and taken appropriate action accordingly. Documents activity accurately including contact names, addresses, phone numbers, and other pertinent...