Ensemble Health Partners

General

• Interview uninsured/under-insured patients to determine eligibility for a state Medicaid benefit or local Financial Assistance program
• Assist with application processes to facilitate accurate and appropriate submissions
• Follow up on submitted applications to ensure timely billing or adjustment processing
• Review referred uninsured/under-insured patients for program eligibility opportunities
• Initialize and coordinate the application process
• Communicate with patients to obtain documents required for applications
• Follow submitted applications to the determination point
• Update applicable insurance information and ensure timely billing or adjustment posting
• Document relevant actions and communication steps in assigned patient accounting systems
• Maintain working knowledge of state and federal program requirements
• Share program information with colleagues and supervisors
• Develop and maintain working relationships with county/state/federal Medicaid caseworker partners
• Collaborate with revenue cycle departments and associates
• Perform other duties as assigned

Senior Public Benefit Specialist

Patient Access Specialist

• Perform admitting duties for all patients admitted for hospital services
• Assign accurate medical record numbers and complete medical necessity and compliance checks
• Provide patient instructions and collect insurance information
• Receive and process physician orders
• Operate the telephone switchboard and relay calls
• Provide compassionate customer service
• Meet assigned point-of-service goals
• Use quality auditing and reporting systems to correct accounts
• Conduct account audits and provide statistical data to Patient Access leadership
• Pre-register patient accounts through inbound and outbound calls
• Obtain demographic, insurance, and financial liability information
• Collect point-of-service collections and past-due balances, including payment plan options
• Explain consent and patient education forms, obtain signatures, and document witnesses
• Review insurance eligibility, select insurance plan codes, and enter benefit data to support collections and billing
• Screen Medicare medical necessity using ABN software and distribute and document required forms

Associate Specialist, Patient Access

• Perform admitting duties for patients admitted for hospital services
• Assign accurate MRNs and complete medical necessity and compliance checks
• Provide patient instructions and collect insurance information
• Receive and process physician orders and utilize an overlay tool
• Operate the telephone switchboard and relay calls
• Meet point-of-service collection goals
• Conduct account audits and use quality auditing and reporting systems
• Pre-register patient accounts and obtain demographic, insurance, and financial information
• Collect point-of-service collections and past-due balances, including payment plan options
• Explain consent and patient education forms and obtain required signatures
• Review insurance eligibility and select applicable plan codes
• Screen medical necessity using ABN software and distribute required forms

Patient Access Associate Specialist

• Perform admitting duties for all patients admitted for hospital services
• Assign accurate medical record numbers (MRNs)
• Complete medical necessity and compliance checks
• Provide patient instructions and collect insurance information
• Receive and process physician orders
• Operate the telephone switchboard
• Provide compassionate customer service
• Meet assigned point-of-service goals and collect payments and past-due balances
• Use quality auditing and reporting systems to correct accounts and provide statistical data to Patient Access leadership
• Pre-register patient accounts through inbound and outbound calls
• Explain consent and patient education forms, obtain signatures, and document witness information
• Review insurance eligibility responses and select applicable insurance plan codes
• Enter benefit data to support point-of-service collections and clean claim rates
• Screen medical necessity using ABN software and distribute and document required forms

• Perform admitting duties for all patients admitted for hospital services
• Assign accurate MRNs
• Complete medical necessity and compliance checks
• Provide patient instructions and excellent customer service
• Collect insurance information and process physician orders
• Operate the telephone switchboard
• Meet assigned point-of-service goals
• Use quality auditing and reporting systems to correct accounts
• Conduct account audits and provide statistical data to Patient Access leadership
• Pre-register patient accounts before visits
• Make inbound and outbound calls to obtain demographic, insurance, and financial information
• Collect point-of-service payments and past-due balances, including payment plan options
• Explain consent and patient education forms, obtain signatures, and document witnesses
• Review insurance eligibility and enter benefit data to support collections and clean claims
• Screen medical necessity using ABN software and distribute required forms

• Perform admitting duties for all patients admitted for hospital services
• Assign accurate medical record numbers (MRNs)
• Complete medical necessity and compliance checks
• Provide patient instructions and explain consent and patient education forms
• Collect insurance information, point-of-service payments, past-due balances, and payment-plan amounts
• Receive and process physician orders
• Use overlay tools and insurance verification systems
• Operate the telephone switchboard
• Conduct patient account audits and ensure forms are accurate and timely
• Provide statistical data to Patient Access leadership
• Pre-register patient accounts through inbound and outbound calls
• Review eligibility responses and enter benefit data to support billing and clean claims
• Screen Medicare medical necessity using ABN software and distribute and document required forms
• Meet point-of-service goals and Press Ganey customer-service expectations

Analyst

• Establish and execute a vision for delivering information and analytics to key stakeholders
• Provide acute back-end operational support, including coordinator duties, KPI scorecards, executive status, cash performance metrics, TIPS reporting, project coordination, and performance monitoring
• Lead and attend stakeholder meetings to drive outcomes
• Serve as Working on the Business coordinator for Acute Back End Operations
• Compile and analyze Acute Backend scorecards for leadership review
• Create executive summaries and net-new operational performance reports
• Provide TIPS reporting, review, and analysis to leadership
• Support operational leadership with centralized reporting needs and projects
• Coordinate ad hoc requests from operations and executive leaders
• Track and reconcile SLAs, monitor performance, and prepare corporate communications and operating reviews
• Analyze financial and business performance against key metrics
• Identify financial/operational opportunities and cost-saving measures
• Establish monitoring and reporting controls
• Evaluate processes and tools and propose efficiency improvements
• Coordinate operational objectives and complete action plans
• Develop and manage project plans, scope, schedules, and resources
• Communicate project risks, barriers, and progress to stakeholders
• Maintain interdepartmental relationships and comprehensive project documentation
• Prepare proformas for service-line and staffing-structure changes
• Anticipate executive leadership needs through records, reports, data, correspondence, confidential matters, and ad hoc reporting
• Inform executive leadership of potential operational problems
• Research data nuances, determine patterns, quantify impact, verify reporting accuracy, and propose solutions for registration issues
• Analyze variances and trends to identify problems

Senior Revenue Cycle Analyst

Security Analyst

• Own the QA process for internal cybersecurity tools and platforms, including SIEM, vulnerability management, GRC/compliance systems, and identity and access management
• Develop and maintain test plans, test cases, and regression suites
• Perform manual functional, regression, integration, and user acceptance testing
• Identify, document, and track defects through resolution
• Develop risk-based testing approaches aligned with business and security impact
• Validate data integrity, access controls, and business logic across system changes, upgrades, and migrations
• Assess control weaknesses, recommend improvements, and assist with reporting deficiencies
• Establish and report QA metrics such as defect density, escape rate, and test coverage to leadership
• Document business processes using flowcharts and process narratives
• Gather, document, and validate business requirements from Information Security and internal stakeholders
• Translate business and security needs into functional specifications, user stories, and acceptance criteria
• Facilitate requirements workshops and stakeholder interviews
• Liaise between business users and technical teams
• Plan and track timelines, milestones, and dependencies for security system initiatives
• Coordinate UAT cycles, release readiness checklists, and go-live activities
• Communicate status, risks, and blockers to stakeholders
• Maintain current knowledge of cybersecurity best practices, compliance standards, and relevant technical and business matters

Senior Analyst, Cybersecurity

• Perform admitting duties for all patients admitted for hospital services
• Assign accurate MRNs
• Complete medical necessity and compliance checks
• Provide patient instructions and collect insurance information
• Receive and process physician orders
• Utilize an overlay tool while providing excellent customer service
• Operate the telephone switchboard for incoming, outgoing, and inter-office calls
• Adhere to policies and provide compassionate customer service
• Meet assigned point-of-service goals
• Use quality auditing and reporting systems to correct accounts
• Conduct account audits and provide statistical data to Patient Access leadership
• Pre-register patient accounts before visits
• Make inbound and outbound calls to obtain demographic, insurance, and financial liability information
• Collect point-of-service collections and past-due balances, including payment plan options
• Explain consent and patient education forms, obtain signatures, and document witnesses
• Review insurance eligibility responses and select insurance plan codes
• Enter benefit data to support point-of-service collections and billing processes
• Screen medical necessity using ABN software and distribute required forms

• Perform admission duties for all patients admitted for hospital services
• Assign accurate MRNs
• Complete medical necessity and compliance checks
• Provide patient instructions
• Collect insurance information
• Receive and process physician orders
• Utilize an overlay tool while providing excellent customer service
• Operate the telephone switchboard for incoming, outgoing, and inter-office calls
• Meet assigned point-of-service goals
• Pre-register patient accounts before visits
• Make inbound and outbound calls to obtain demographic, insurance, and patient financial liability information
• Collect point-of-service collections and past-due balances, including payment plan options
• Explain general consent forms and obtain required signatures and witness names
• Explain and distribute patient education and regulatory documents, including Medicare, Tricare, observation, MOON, and consent forms
• Review insurance eligibility responses and select applicable insurance plan codes
• Enter benefit data to support point-of-service collections and billing processes
• Screen medical necessity using ABN software and distribute ABNs as appropriate
• Distribute and document designated forms and pamphlets
• Use quality auditing and reporting systems to ensure account corrections
• Conduct account audits and verify forms are accurate and timely
• Provide statistical data to Patient Access leadership

Patient Access Associate Specialist – Part Time

• Perform admitting duties for all patients receiving services
• Assign accurate MRNs and complete medical necessity or compliance checks
• Provide patient instructions and collect insurance information
• Receive and process physician orders using an overlay tool
• Provide customer service and serve as the department SMART
• Operate the telephone switchboard
• Use quality auditing and reporting systems to ensure accounts are corrected
• Develop training materials and programs for new hires
• Provide continuing education to revenue cycle associates
• Develop staff schedules within the patient access department
• Provide on-call, after-hours support and guidance, including covering unscheduled staffing needs
• Collect point-of-service payments and offer payment plan options
• Conduct account audits and provide statistical data to Patient Access Leadership
• Explain consent and patient education forms, obtain signatures, and distribute required documents
• Review insurance eligibility, select plan codes, and enter benefit data to support collections and billing
• Pre-register patient accounts and obtain demographic and insurance information by inbound and outbound calls
• Screen Medicare medical necessity using ABN software and distribute and document designated forms

Senior Patient Access Specialist

• Perform admitting duties for all patients admitted for hospital services
• Assign accurate MRNs
• Complete medical necessity and compliance checks
• Provide patient instructions and collect insurance information
• Receive and process physician orders
• Operate the telephone switchboard
• Provide compassionate customer service
• Meet assigned point-of-service goals
• Conduct account audits and provide statistical data to Patient Access leadership
• Pre-register patient accounts before visits
• Make inbound and outbound calls to obtain demographic, insurance, and financial information
• Collect point-of-service collections and past-due balances, including payment plan options
• Explain consent and patient education forms and obtain signatures
• Review insurance eligibility and enter benefit data to support collections and billing
• Screen medical necessity using ABN software and distribute required forms

Auditor

• Review medical records to ensure accuracy, compliance, and appropriate billing within the revenue cycle
• Support financial integrity by validating clinical documentation against coding and reimbursement guidelines
• Review patient charts and medical records for accuracy and completeness
• Validate clinical documentation against coding and billing requirements
• Identify discrepancies in medical necessity, documentation, or coding
• Prepare audit findings and communicate results to providers and revenue cycle staff
• Collaborate with clinical and billing teams to resolve identified issues
• Ensure compliance with payer requirements and regulatory standards

Nurse Auditor

• Manage the charge master, regulatory code changes, work queues, charge capture, reconciliation, reporting, and analytical trending
• Identify root causes of charge inefficiencies and develop corrective action plans
• Implement process improvements to ensure accurate and consistent charge capture
• Evaluate charging practices and maintain the Charge Description Master
• Ensure compliance with evolving coding and billing regulations
• Collaborate with multidisciplinary teams to enhance hospital net revenue
• Lead operational improvement initiatives and provide analytical insights into billing errors, denials, and claim edits
• Educate stakeholders on best practices and conduct quality assurance
• Leverage data trends to identify training and revenue enhancement opportunities
• Partner with client leadership to strengthen charge capture methodologies
• Support system conversions and foster client relationships through regular rounding and site visits
• Drive efficiencies in the revenue cycle

Revenue Integrity Analyst

Customer Support

• Handle incoming patient calls for Customer Service
• Perform customer service and collection activities across the Revenue Cycle
• Answer patient questions regarding statements
• Post guarantor payments
• Set up payment plans within company policies
• Research and resolve account issues identified by patients
• Coordinate with appropriate departments to resolve patient requests
• Connect patients with the financial counseling department for charity screening
• Communicate patient balances
• Meet department collection goals while providing excellent patient service
• Partner with Ensemble and Revenue Cycle teams to resolve customer service issues
• Perform other duties as assigned

Senior Public Benefit Specialist

Associate Specialist, Patient Access

Patient Access Associate Specialist

Patient Access Associate Specialist

Patient Access Associate Specialist

Patient Access Associate Specialist

Senior Revenue Cycle Analyst

Senior Analyst, Cybersecurity

Patient Access Specialist

Patient Access Associate Specialist – Part Time

Senior Patient Access Specialist

Patient Access Specialist

Nurse Auditor

Revenue Integrity Analyst

Associate Specialist, Customer Service