Jobs at Ensemble Health Partners

Work with a team to identify, research, and recover underpayments on patient accounts by communicating with payors, filing appeals, documenting activity, and addressing root causes. Maintain knowledge of payor and regulatory requirements, use automated and manual methods to find underpayments, and meet productivity and quality standards while collaborating with client teams and contract management.

Serve as a strategic HR business partner delivering consulting, workforce planning, organizational development, employee relations, and HR analytics support. Partner with clients to implement HR initiatives, drive retention and succession planning, support onboarding and change events, and advise managers on performance, compensation, and compliance for large client groups.

Conduct timely, detailed chart reviews to assign diagnoses, CC/MCC, SOI/ROM, and working ICD-10/PCS codes; obtain physician clarifications; educate clinicians on documentation; partner with coding for accurate DRG assignment; prepare and submit appeals; uphold clinical documentation regulatory guidelines to support correct reimbursement.

Supervise billing associates and daily workflows to ensure compliant claims submission, monitor KPIs, QA, timecards, and productivity; provide training, process improvements, and cross-team coordination to improve revenue and reduce denials.

The Physician Advisor leads resource and utilization management, collaborates with medical staff on care protocols, and conducts peer reviews and educational training. They analyze patient care efficiency and manage denial trends.

The Manager of Client Coding Integration oversees client coding operations, ensures compliance with policies, collaborates with leadership, enhances client relationships, and drives operational excellence across coding processes.

The Coding Educator educates coding professionals on guidelines, develops curricula, monitors coding quality, collaborates with providers, and supports compliance with coding standards.

This role involves interviewing uninsured/under-insured patients to determine eligibility for Medicaid or financial assistance programs and assisting with application processes while maintaining accurate documentation and communication with patients and relevant agencies.

Interview uninsured/under-insured patients to determine Medicaid or financial assistance eligibility; assist with and follow up on applications, obtain required documents, update insurance information, ensure timely billing or adjustments, document actions in patient accounting systems, and collaborate with Medicaid caseworkers and revenue cycle teams.

Interview uninsured or under-insured patients to determine Medicaid or financial assistance eligibility, assist with application submissions and follow-up, update insurance and billing records, document actions in patient accounting systems, and collaborate with Medicaid caseworkers and revenue cycle teams to ensure timely adjustments.

The CDM Analyst I conducts financial reviews for charge capture accuracy, ensures compliance, leads multi-disciplinary projects, and communicates with clinical departments to enhance revenue cycle management.

The Physician Billing Associate Specialist manages client billing processes, ensures compliance with contracts, performs documentation tasks, and assists with patient accounts while meeting regulatory standards.

The Revenue Recovery Specialist II is responsible for researching underpayments, filing appeals, and coordinating with payors to recover outstanding balances while maintaining accurate documentation.

The Senior Director, Pre-Access leads scheduling teams, enhances operational efficiency, improves patient experiences, and ensures compliance within revenue cycle functions.

The Public Benefit Specialist interviews uninsured patients to determine eligibility for Medicaid or financial assistance, assists with applications, updates insurance information, and maintains communication with Medicaid caseworkers.

The Analyst I maximizes insurance reimbursement by analyzing underpayments, communicating discrepancies, identifying trends in claims, and improving the revenue cycle. Responsibilities include problem-solving, maintaining communication with payors, and collaborating with various departments.

The Insurance Authorization Specialist ensures insurance authorizations are completed for patients, requiring communication with insurance companies and doctors, while adhering to regulations and documentation practices.

The Physician Advisor leads resource management and utilization to ensure cost-effective care. Responsibilities include status determinations, peer reviews, educating staff, managing peer-to-peer communications, and developing care management protocols.

The Physician Advisor leads resource and utilization management, works with medical staff to optimize hospital services, and provides education and training to ensure quality patient care.

The role involves designing and improving workflows in revenue cycle management using AI and automation, focusing on efficiency and effectiveness.