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Responsible for following up on claim payment issues with payers, resolving discrepancies, and ensuring timely reimbursement. Requires basic computer knowledge, problem-solving skills, and adherence to quality and productivity standards. High School Diploma/GED required. CRCR certification required within 6 months of hire.
Review and update failed bills and claims, manage late charges, rebills, and reports. Handle documentation for audits and communicate with patients, insurance, and third parties for billing information. Assist in training document creation and perform other assigned duties. Required CRCR certification, 1-3 years of experience, and an Associate's Degree with High School Diploma or GED.
Accounts Receivable Specialist responsible for resolving claim payment issues with payers, drafting appeals, and ensuring timely reimbursement. Requires basic computer knowledge, problem-solving skills, and adaptability to changing procedures.
Interview uninsured/under-insured patients to determine eligibility for Medicaid benefits or Financial Assistance programs. Assist with application processes and follow up on submissions for timely processing. Maintain knowledge of program requirements and collaborate with Medicaid caseworkers.
Public Benefit Specialist role at Ensemble Health Partners focusing on determining eligibility for Medicaid benefits and financial assistance programs for uninsured/underinsured patients. Responsibilities include interviewing patients, coordinating application processes, and communicating effectively to ensure timely billing. Must maintain knowledge of state and federal program requirements and collaborate with various revenue cycle departments and external partners.
Lead the charge in revolutionizing one of the Revenue Cycle Management value streams within the proprietary software, EnsembleIQ, by overseeing design, development, testing, deployment, and continuous improvement of RCM software solutions. Collaborate with leadership and product management to define product roadmaps, adopt best engineering practices, and utilize AI and machine learning to enhance RCM processes.
Manager, Payor Performance at Ensemble Health Partners responsible for enhancing the AR function and strengthening relationships with payors. Key responsibilities include attending meetings, coordinating follow-ups, developing presentations, and ensuring efficient Revenue Cycle operations. The role requires strong collaboration, communication, and accountability skills.
The Revenue Recovery Specialist is responsible for maximizing reimbursement by identifying contractual variances, analyzing payment discrepancies, resolving underpaid claims, and improving revenue cycle processes. They work collaboratively with financial and clinical departments to optimize revenue opportunities and ensure accurate account analysis.
The Senior Financial Pricing Analyst at Ensemble Health Partners is responsible for leading and performing comprehensive financial due diligence on healthcare-related transactions, developing pricing proposals, supporting customer integration processes, and managing margin improvement initiatives. This role involves engaging with multiple stakeholders, analyzing complex datasets, and presenting financial information to clients and the internal leadership team.
Interview uninsured/under-insured patients to determine Medicaid eligibility or Financial Assistance program eligibility. Assist with application processes and follow up on submissions for accurate billing. Maintain knowledge of state and federal program requirements and collaborate with Medicaid caseworkers.
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