Ensemble Health Partners
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The Scheduling Specialist role involves managing and coordinating schedules to optimize revenue cycle processes for healthcare systems. You will assist in workflow improvements and support staff efficiency to enhance patient care and operational effectiveness.
The Accounts Receivable Specialist will follow up with payers to resolve claim payment issues and ensure timely reimbursement. Duties include examining denied claims, filing appeals, maintaining documentation, and identifying trends to address root causes. Strong problem-solving and communication skills are essential, along with the ability to utilize Microsoft Excel proficiently.
The Scheduling Specialist is responsible for scheduling and pre-registering patients for Diagnostic Services, ensuring compliance with regulations and policies, providing accurate patient instructions, and collecting financial information while delivering excellent customer service.
The AVP, Accounts Receivable manages and directs the accounts receivable department to meet KPIs and benchmarks, ensuring efficient revenue cycle performance. This role involves training Revenue Cycle associates, monitoring statistical reports for trends, and ensuring compliance with billing and payer policies. The AVP acts as a liaison with facilities and communicates regularly with the CFO.
The Senior Self-Pay Operations Specialist oversees the self-pay collections process, manages bad debt and acute inventory, and ensures accurate billing. Responsibilities include analyzing reports on performance and implementing process improvements while ensuring compliance with regulations.
The Denials Specialist at Ensemble Health Partners manages clinically related claim denials, including contacting insurance for denial reasons, analyzing claims for potential appeals, preparing appeal materials, and communicating with healthcare providers for necessary documentation. This role requires close collaboration with departments involved in case management and hospital operations to address denial trends effectively.
The Enrollment Specialist will manage enrollment activities for hospital and physician locations, ensuring accurate processing in multiple clearinghouses while maintaining client banking information. Responsibilities emphasize outstanding customer service, effective communication, and compliance with guidelines to support timely enrollment of electronic funds transfers and remittance advice delivery.
The VP of Accounts Receivable will oversee client operations, implement policies to maximize revenue, lead the Accounts Receivable operations team, and ensure performance standards are met. Responsibilities include monitoring trends, developing action plans for improvements, and serving as a liaison for the revenue cycle process while promoting effective communication and leadership within the organization.
The Public Benefit Specialist interviews uninsured or under-insured patients to determine eligibility for state Medicaid benefits or financial assistance programs. Responsibilities include assisting with application processes, following up on submissions, and maintaining communication with insurance providers and Medicaid caseworkers. Documentation of actions and knowledge of state and federal program requirements are also essential.
The Manager of Client Coding Integration is responsible for developing strategies for Ensemble Coding Operations. This includes client onboarding, clinical documentation improvement, coding customer service operations, and relationship management. The role requires collaboration with leadership teams, problem-solving, maintaining client relationships, and continuous improvement through training and innovative practices.
The Revenue Integrity Analyst is responsible for conducting analytical reviews of charge items and revenue cycle processes in acute and non-acute settings. Duties include creating dashboards and reports, resolving charge discrepancies, ensuring compliance with coding guidelines, and collaborating with healthcare staff to enhance revenue integrity workflows.
The Network Engineer will be responsible for global network operations, focusing on design, support, implementation, and maintenance of network systems. Key duties involve monitoring network performance, managing routers and firewalls, ensuring security, and providing Tier 3 support in a team environment, while also participating in change management processes.
As a Senior Data Engineer, you will implement technology strategies, develop scalable data pipelines, build API integrations, and ensure data quality for critical stakeholders. You will also influence the engineering team through code reviews and design sessions and contribute to architectural patterns for data access.
The Virtual Utilization Review Specialist is responsible for conducting reviews of medical necessity for hospital admissions, collaborating with healthcare teams to ensure proper utilization of resources, managing denial processes, and maintaining accurate records of reviews and appeals.
The Public Benefit Specialist interviews uninsured and under-insured patients to determine eligibility for state Medicaid benefits or financial assistance programs, assists with application processes, and ensures timely follow-up on submitted applications. The role requires effective communication with patients and maintaining documentation in patient accounting systems.
The Revenue Recovery Specialist analyzes insurance reimbursements, identifies discrepancies between payments and expected amounts, communicates these with internal and external teams, and resolves underpayment issues. The role involves reviewing remittance data and collaborating with departments to optimize revenue cycle processes.
Interviews uninsured/under-insured patients to determine eligibility for state Medicaid benefits or financial assistance programs. Assists with application processes and follows up to ensure timely processing. Maintains knowledge of Medicaid program requirements and collaborates with healthcare partners.
The Public Benefit Specialist interviews uninsured and under-insured patients to determine their eligibility for Medicaid and Financial Assistance programs, assists with application processes, follows up on applications, and maintains documentation within patient accounting systems while collaborating with Medicaid caseworkers and other departments.
As a Lead Software Engineer at Ensemble Health Partners, you will influence and implement technology strategies for software delivery teams, develop reusable components, and mentor the engineering team. Your responsibilities include software design, development, and continuous improvement while partnering with business leads to conceptualize impactful solutions.
The Representative II, Desk Side provides IT issue resolution for team members, manages IT assets, troubleshoots connectivity and software issues, and collaborates effectively with IT resources to enhance service delivery.