Jobs at Ensemble Health Partners

Interview uninsured or underinsured patients to determine Medicaid or financial assistance eligibility; assist and follow up on applications, update insurance and billing records, document actions in patient accounting systems, and maintain relationships with state/county Medicaid partners and internal revenue cycle teams.

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.

The Lead Technology Engineer will lead IT systems implementation, ensure network security, manage integrations, and enhance operational efficiency through automation.

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.

Interview uninsured and under-insured patients to determine eligibility for Medicaid or financial assistance, assist with applications, follow up to ensure timely billing or adjustments, document actions in patient accounting systems, and maintain relationships with Medicaid caseworkers and revenue cycle teams.

Analyze remittance data to identify underpayments, pursue appeals with payors, resolve payment variances, report trends, and collaborate with billing, coding, and managed care teams to maximize insurance reimbursement and improve revenue cycle performance.

Manage client hospital billing and ensure procedures are billed per contracts; review and update client statements; print and mail paper and secondary claims; scan documents to patient accounts; review correspondence and follow up; maintain regulatory compliance and perform other assigned duties.

Review complex clinical and technical claim denials, analyze medical records for medical necessity, prepare and submit provider/member/IRO/ALJ appeals, ensure ERISA and HIPAA compliance, mentor and train Clinical Denial and Underpayment team members, identify denial trends, and coordinate with Case Management and Clinical Appeal teams.

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

Manage daily failed bills and claims across systems, resolve electronic submission issues (including 277s), process late charges and rebills, attach supporting documentation, contact payers/patients for billing data, create and deliver training, monitor claim errors and recommend system fixes, and provide occasional onsite coverage at client or corporate locations.

Researches and analyzes patient accounts to identify and recover underpayments. Communicates with payors, files underpayment appeals, documents activity in Ensemble IQ or tracking systems, identifies root causes, collaborates with client and contract management, uses automated and manual methods, meets productivity and quality standards, and supports process improvements.

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

The Coding Supervisor oversees coding activities in healthcare facilities, ensuring compliance with coding standards and staff performance. Responsibilities include managing staff, monitoring coding productivity, and conducting audits.

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.