Jobs at Ensemble Health Partners

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

The Senior Coding Auditor will identify coding variance, drive automation in coding processes, validate AI outputs, and redesign workflows to enhance revenue cycle efficiency.

The Senior Denials & Appeals Specialist identifies denial root causes, designs taxonomies, validates AI-assisted appeal generation, and collaborates with cross-functional teams to improve revenue cycle processes.

The Senior Prior Authorization & Eligibility Specialist focuses on redesigning workflows, validating automation approaches, and ensuring effective eligibility and authorization protocols in revenue cycle management.

The Senior Underpayment Recovery Analyst identifies underpayment drivers, designs detection models, and collaborates cross-functionally to optimize revenue cycle workflows and implement automation solutions.

The Senior Insurance A/R Follow-Up Specialist identifies AR drivers, designs workflows, and validates automation strategies, ensuring effective revenue cycle management.

The Senior CDI Specialist is responsible for identifying documentation gaps, designing workflows, and validating AI-assisted documentation solutions in the revenue cycle domain.

The role involves identifying underpayment opportunities in hospital insurance claims, validating these claims, and liaising with post-acute care providers and MACs, utilizing various Medicare resources and Ensemble software.

The Senior Accounts Receivable Specialist manages claim follow-up, disputes, and denials, mentors team members, and ensures timely reimbursement while identifying trends in payment issues.

The Director of Client Coding Integration oversees accurate coding, regulatory compliance, and reimbursement processes, requiring coding expertise and attention to detail.

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 Engineer II role involves administering and maintaining Microsoft Active Directory and Azure AD, managing user and system access, troubleshooting issues, developing automation scripts, and supporting related technologies for operational efficiency.

Role involves providing HR consulting services, strategic workforce planning, and leadership support to manage large employee groups effectively. Requires collaboration to improve organizational performance and employee relations.

The Accounts Receivable Supervisor manages the team ensuring productivity, resolves claim issues, analyzes trends, and collaborates with departments to meet financial goals.

The Data Governance Liaison ensures data governance accuracy and compliance, automates data catalog processes, conducts audits, and promotes awareness within the organization.

The Senior Accounts Receivable Specialist handles follow-up and denial activities with payers, mentors team members, resolves claim issues, and ensures timely reimbursements. They analyze denied claims, communicate with other departments, and assist management with special projects.

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.

Educate and onboard Clinical Documentation Specialists, develop customized education for clinicians and staff, audit records for accurate DRG/severity capture, draft compliant queries, ensure coding guideline compliance, and support CDI policy and SMART-related training.

The AVP of Data Engineering is responsible for owning the enterprise data platform and strategy, enabling AI-driven capabilities, and collaborating across teams to ensure data quality and compliance.

The Supervisor, Accounts Receivable oversees workflows, supports team members with claims issues, manages performance, and implements plans to enhance revenue and reduce denials.