Senior Billing Integrity Specialist

Thank you for considering a career at Ensemble Health Partners!

Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.

Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!

O.N.E Purpose:

• Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.

• Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.

• Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.

The Opportunity:

­­­­ENTRY LEVEL CAREER OPPORTUNITY OFFERING:

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement
• The starting pay for this position is $19.95 - $22.00/hr, final compensation will be based on experience

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Job Summary

The Senior Billing Integrity Specialist serves as a knowledgeable, responsive point of contact and advocate, providing support for the department. Performs multiple revenue cycle system activities by blended client assignment and/or enterprise wide.

Essential Job Functions

• Resolving multi-disciplinary edits (i.e., registration, coding, revenue integrity, billing, etc.).

• Works with the team to identify trends that can lead to inappropriate billing or revenue posting incorrectly.

• Proactively identifies problems and opportunities for improvements related to system usage, training and end user education, practice and user trends and makes recommendations to the team.

• Collaborate with Billing and Denials Management department to identify trend analysis of multidisciplinary errors by identifying new claims rules/edit needs to facilitate accurate billing.

• Research's escalated billing issues and follows through to resolution.

• Works daily electronic 277's and or RTPs resolving claim issues.

• Contact patients, insurance, any third party for insurance information or any additional billing data when needed.

• Floats to work absentee staffing desks.

• Assist with the creation of SOP's, Policies and flow charts as needed.

• Assist with new client implementations by assisting with preparation of the clients unbilled reports and unbilled meetings, completion of Best Practice Tracker and playbooks.

• Assist with driving results related to but not limited to DNFB and DNFS performance.

• Provides assistance with driving the management of client KPI's and Ensemble Health Partners Billing key metrics.

• Serves as an analytical resource for departmental activities and projects.

• Works closely with department personnel to audit, assess and identify training needs.

• Provides initial and/or ongoing training for employees as well as identify, evaluate, and implement business process improvements.

• Remain familiar of all coding, revenue integrity and billing changes on state and federal levels for assigned clients, while ensuring team members are also made aware of changes.

• Assists other staff as required in the completion of daily tasks or special projects to support the department's efficiency.

As a Senior Billing Integrity Specialist, the candidate will be responsible for being cross trained in multiple clients, host systems and clearinghouses.

Ensemble Required License:

CPCH, CPCO, CPC, CRCR

Desired Work Experience:

5 to 7 years  

Preferred Knowledge, Skills and Abilities:

• 5 years+ experience in healthcare industry/revenue cycle functions. End to end revenue cycle knowledge or background.
• Experience on multiple payers regulations or a SME for one payer.
• Must demonstrate basic computer knowledge.
• Must pass typing test of 35 words per minute (error adjusted).

Join an award-winning company

Five-time winner of “Best in KLAS” 2020-2022, 2024-2025

Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024

22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024

Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024

Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023

Energage Top Workplaces USA 2022-2024

Fortune Media Best Workplaces in Healthcare 2024

Monster Top Workplace for Remote Work 2024

Great Place to Work certified 2023-2024

• Innovation

• Work-Life Flexibility

• Leadership

• Purpose + Values

Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:

• Associate Benefits –  We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs. 
• Our Culture – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.  
• Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement. 
• Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company. 

Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws.  Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.

Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact [email protected].

This posting addresses state specific requirements to provide pay transparency.  Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position.  A candidate entry rate of pay does not typically fall at the minimum or maximum of the role’s range.

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