Billing 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

The Opportunity :

Job duties include but are not limited to performing daily billing tasks : Working daily failed bills / claims on all systems including late charges, rebills and any additional billing reports.

Reviews / Updates failed bills & claims within the host system, the billing vendor, EIQ along with any additional system needed to ensure timely billing.

Works daily electronic 277's, resolving claim issue's including RTP's. Works daily late charges & rebills. Bills hardcopy claims attaching any needed documentation for payment.

Pulls EOB's and Medical Records as needed, attaching to claims and mailing. Pulling UB's / Itemized for audits and print / mail hardcopy UB's with any added documents.

Contact patients, insurance, any third party for insurance information or any additional billing data when needed. Floats to work absentee staffing desks.

Assist with monitoring all unbilled accounts within host systems, billing vendors, or any additional systems utilized. Assist with resolving errored claims as needed.

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

Create training documents then trains and tests staff. Remain familiar of all billing changes on state and federal levels for assigned clients, while ensuring team members are also made aware of changes.

Pull and records end of day unbilled volumes and dollars. As a Senior Specialist Billing will be responsible to be cross trained in multiple clients.

They will perform these duties while meeting the mission and goals of Ensemble Health Partners, as well as meeting the regulatory compliance requirements.

Essential Functions :

• Reviews / Updates failed bills & claims on host system and within billing vendor.


• Works daily electronic submissions (or 277's) resolving claim issue's.


• Monitors daily claims errors and resolution providing recommendations on systems fix's going forward.


• Works daily late charges & rebills.


• Bills hardcopy claims attaching any needed documentation for payment.


• Pulls EOB's and Medical Records as needed attaching to claims and mailing.


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


• Creates training documents / tests. Train educate staff, providing testing.


• Work absentee staffing desks

Requirements :

• 1 to 3 years relevant job experience


• High School Diploma, GED, or Equivalent Experience with preference for 2 years of an accredited degree or equal experience.


• Must also be CPB Certified.


• Internal candidate must have met 100% productivity and 95 % quality assurance for the prior 3 month period.


• Must have billing experience on multiple payers or a SME on one payer.


• Must demonstrate basic computer knowledge and demonstrate proficiency in Microsoft Excel.


• Must pass typing test of 35 words per minute (error adjusted).


• Must be able to provide a mock training session to the interviewer(s).


• Ensemble associate to obtain Certified Revenue Cycle Representative(CRCR) within 9 months of hire.

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Join an award-winning company

Three-time winner of Best in KLAS 2020-2022

2022 Top Workplaces Healthcare Industry Award

2022 Top Workplaces USA Award

2022 Top Workplaces Culture Excellence Awards

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.

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Last updated : 2023-08-07