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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.
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