We are looking for a Revenue Cycle Specialist to join our dynamic multidisciplinary team. As a Revenue Cycle Specialist, you’ll Champion the Company’s culture and live the Company’s core values while being an ambassador for Ensemble Therapy Services. A successful candidate will have fun! We are looking for candidates who like to work hard, have a positive attitude and like having fun while they work.

Remote and transition to in clinic position by the end of this year.

• Perform cash posting for daily cash and insurance payments

• Work Patient Accounts Receivable and update patient files accurately and effectively with all collection activities.

• Discuss all issues with the Accounts Receivables Supervisor regarding any concerns or problems with payment posting.

• Research payer denials related to referral, pre-authorization, medical necessity, case management, non-covered services, and billing resulting in denials and delays in payment. Initiate appeals with insurers appropriately.

• Submit detailed, customized appeals to payers based on review of medical records and in accordance with Medicare, Medicaid, and third-party guidelines.

• Serve as a resource for clinical case management departments regarding concurrent denials

• Coordinate appropriate status determinations using Ensemble Therapy Guidelines and Medicare guidelines

• Identify denial patterns and escalate to management as appropriate with sufficient information for additional follow-up, and/or root cause resolution

• Make recommendations for additions/revisions/deletions to work queues and claim edits to improve efficiency and reduce denials

• Review payor communications, identifying risk for loss reimbursement related to medical policies and prior authorization requirements; escalates potential issues to clinical stakeholders, managed care contracting, and leadership as appropriate

• Well organized and able to complete each project on time.

• Must be a self-starter

• Able to actively listen and find solutions.

• Good analytical skills and creating reports, presenting data and evaluating trends.

• Communicate in a clear and effective manner, both in writing and verbally.

• Must have experience with accounting and finance

Physical requirements include standing, walking, and sitting for extended periods of time; use of manual dexterity and gross motor skills with repetitive motion; lifting and carrying up to 50 pounds; pushing, pulling and bending at the neck, waist and knees; reaching overhead, above the shoulders and horizontally; wrist twisting; kneeling.

• Comprehensive benefits package includes: $450 per month towards employee's medical plan (PPO or HMO) dental and vision benefits are 100 % paid by Ensemble Therapy. Additionally, voluntary time, long-term disability, critical illness, and accidental benefits are provided.

• $16-$17 per hour/DOE

• 401(K) plan

• Employee assistance program

• Flexible Spending Account (FSA)

• Paid Vacation Hours and Paid Sick Time available

• CEU’s Reimbursement

Email Resume to Careers@EnsembleTherapyServices.com