• Job Description

  Req#: R019455

  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:

  A Denial Prevention Process Improvement role must effectively deliver and advise on best practice workflow and provide proactive service towards decreasing the Denial Write-off and First Pass Denial measurement and unify our Client’s revenue cycle through Process Improvement and Collaborative Partnerships. This is a Client-Facing position.

  Decision Making - Makes decisions by gathering, analyzing, and interpreting information; chooses the best course of action by establishing clear decision criteria, generating and evaluating alternatives, and making timely decisions.

  Courage - Proactively confronts difficult issues and effectively participates in challenging conversations; makes hard choices and takes bold action in the face of opposition or fear. Refuses defeat.

  Influencing - Uses effective persuasion techniques to gain acceptance of ideas and commitment to actions that support specific outcomes.

  Coaching & Developing Others - Partners with individuals’ and supports their development of knowledge, skills, and abilities; empowers them to unlock their potential and maximize performance and growth knowing that developing you makes us better.

  Emotional Intelligence - Establishes and sustains trusting relationships by accurately understanding and interpreting one’s own and others’ emotions and adapts behaviors to accomplish intended results.

  Creating an Inclusive Environment - Makes decisions and initiates action to ensure that policies and business practices leverage the capabilities and insights of individuals with diverse backgrounds, cultures, styles, abilities, and motivation.

  Serve as an operational point-of-contact, advocate, problem solver, and trusted advisor for defined set of Clients specific for decreasing Denial Impact.

  Partner with Clients and Ensemble Operations to proactively improve Client health and satisfaction by monitoring key metrics related to Denial Write-offs, First Pass Denials, and appropriate “in process” metrics.

  Provide depth of insight and on Denial Write-offs and First Pass Denials to identify patterns and trends relative to Acute Denials.

  Develop cross-functional Process Improvement action plans to engage and influence Operations. Connect the data to current state processes and policies, collectively root cause accounts, and determine appropriate next steps to resolve breaks in process or other gaps in Roles and Responsibilities.

  Engage the right people to solve the right problems with the right depth and scope of work. Provides roadmap of solutions to specific problems covering necessary information relative to identified trends, progress from prior actions, and next steps.

  Prepare and lead Denial Prevention Committees to highlight issues and calls to action for driving resolution to underlying problems that lead to denials and write-offs.

  Leads reviews using all patient accounting, host, Epic and related systems used across their client to verify and summarize trends concisely and actionably.

  Travel independently or with a team for on-site process reviews to strengthen relationships, engage Client Service Lines, review key performance metrics, and identify opportunities to further align results.

  Consistently identify opportunities to improve processes and conduct data analysis to identify root cause. Provide ongoing training and development for Client and Operations as appropriate.

  IV. Employment Qualifications

  • Ensemble Required License / Certification (Ex: CRCR)

  CRCR

  Job Experience

  • 5 to 7 Years

  Desired Education

  High School Diploma, GED, or Equivalent Experience

  Other Preferred Knowledge, Skills and Abilities

  5-7 Years of experience is preferred; but 3-5 years of experience is minimum required

  Experience building and managing relationships, including interacting with all levels of management (both internally and client-focused)

  Understanding of Revenue Cycle and Risk areas that lead to a Denial

  Possess process and change management skills, in addition to standard Project Management components (e.g. lead meetings, draft status reports, develop & manage project plans, track issues/risk logs, develop & monitor resource plans, etc.)

  Experience with root cause analysis, including the skill and experience to troubleshoot and investigate issues

  Ability to execute and prioritize multiple tasks in a fast-paced environment

  Ability to work independently and to participate in cross-functional teams

  Outstanding communication (written and oral) and interpersonal skills for Executive facing presentations

  Proficient in Microsoft Office applications, specifically Excel, PowerPoint, Word, and OneNote

  Hands on experience with PM/HIS systems preferred (e.g. Epic, Cerner, etc.)

  Excellent phone and presentation skills

  Travel up to 25-30% of the time to client sites, meetings, or seminars

  Understand the vocabulary used in a healthcare and revenue cycle operations

  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. If you require accommodation in the application process, please contact TA@ensemblehp.com.

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• About the company

  Ensemble Health Partners is the leading revenue cycle management company for hospitals. We build relationships & find the best solutions to your challenges.

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