Ensemble Health Partners
US National – Telecommute
Underpayment Specialist – Work from Home
Remote – Nationwide
Thank you for considering a career at Ensemble Health Partners!
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
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
And a lot more
Insurance , Insurance Claims , Medical & Health , Medical Billing