Ensemble Health Partners

Full-stack Engineer

• As a Senior Software Engineer your role will be to evangelize, influence and implement the technology strategy for Ensemble software delivery teams.
• You will focus on the biggest needs across the organization and develop reusable components, patterns, and tooling to address them.
• You will influence behaviors through code reviews and hands on design sessions.
• In addition to your technical responsibilities, you will partner with business delivery leadership to conceptualize solutions that meet their complex needs.
• Your outcomes will be a primary contributor to achieving our long-term strategic goals.
• Design, develop, test, deploy, monitor, maintain, and continuously improve software.
• Translate product concepts into project commitments that deliver incremental value to our customers frequently and with high quality.
• Focus on the biggest needs across the organization and develop reusable components, patterns and tooling to address them.
• Actively mentor the engineering team through code reviews, and hands on design sessions.
• Responsible for the team's technical deliverables and the quality of it.
• Responsible for designing the solutions in alignment with the future state architecture for the features to be delivered.

Senior Engineer, Software

Engineer

• Join an award-winning company and provide exceptional experiences for clients
• Foster a culture of creativity and experimentation
• Striving for excellence and execution at a high level

Software Engineer

IT Support

• Interviews uninsured/under-insured patients to determine eligibility for a state Medicaid benefit or location Financial Assistance program.
• Assists with application processes to facilitate accurate and appropriate submissions.
• Follows-up on submitted applications to ensure timely billing or adjustment processing.
• Reviewing all referred uninsured/under-insured patients for program eligibility opportunities, initializing and coordinating the application process to facilitate accurate and appropriate submissions.
• Effectively communicating with the patient to obtain documents that must accompany the application.
• Following submitted applications to determination point, updating applicable insurance information and ensuring timely billing or adjustment posting.
• Documenting all relevant actions and communication steps in assigned patient accounting systems.
• Maintaining working knowledge of all state and federal program requirements; shares information with colleagues and supervisors.
• Developing and maintaining proactive working relationship with county/state/federal Medicaid caseworker partners, working collaboratively with other revenue cycle departments and associates.

Public Benefit Specialist

Financial Planning and Analysis

• Responsible for revenue forecasting and analytics including the following but not limited to: Client-reported Net Patient Revenue (NPR)
• NPR Lift (financial impact of revenue cycle management operational improvements)
• Cash Collection Forecasts (derived from Client-reported Net Patient Revenue)
• Ensemble Full Outsource Collections Revenue forecasts (derived from forecasted cash Client-reported Net Patient Revenue)
• Analyze trends in patient volumes, patient statusing, service line utilization, acuity, and payor mix
• Perform “rate vs. volume” analysis to gain insights into changes in reported revenues
• Present observations in a succinct, professional manner to internal and external stakeholders
• Evaluate NPSR and Net AR results monthly and trending over time, identifying variances
• Understand reserve methodology for clients and challenges they may present
• Provide assistance/coverage for monthly client close calls
• Support fulfillment of analytics/data requests required for decision making needs and performance risk mitigation
• Assist in maintaining NPR lift reporting tools to support business decision-making, forecasting, and performance improvement
• Analyze and understand operational metrics affecting monthly cash collections
• Collaborate with operational teams to understand client projected cash trends trajectory
• Forecast cash collections and communicate to all stakeholders
• Collaborate with accounting to understand any one-time or ongoing client adjustments
• Analyze monthly revenue results and proactively communicate variances to expectations
• Ensure that all assigned activities are completed on-time, within scope, and all observations along with any barriers are communicated to the appropriate parties
• Comfortable working at a high level of performance under tight deadlines
• Performs high quality work, responsible for verification of the accuracy of the information reported
• Evaluation of current processes and tools and propose changes to drive efficiencies within the organization.

Senior Financial Analyst

Analyst

• Support the mission of the Ensemble Compliance Program through the management of the core databases utilized by the compliance team.
• Analysis of data for trends, patterns, and compliance with policies and procedures.
• Follow up as needed on reported compliance concerns.
• System administrator for Incident Management System and Policy Management system, developing and running reports.
• Monitor training activity for compliance and manage the compliance web pages.
• Develop surveys and monitor results of sanction screening done by a third-party vendor.

Privacy Associate Analyst

• Interviews uninsured/under-insured patients to determine eligibility for a state Medicaid benefit or Financial Assistance program.
• Assists with application processes to facilitate accurate and appropriate submissions.
• Follows-up on submitted applications to insure timely billing or adjustment processing.
• Reviewing all referred uninsured/under-insured patients for program eligibility opportunities, initializing and coordinating the application process to facilitate accurate and appropriate submissions.
• Effectively communicating with the patient to obtain documents that must accompany the application.
• Following submitted applications to determination point, updating applicable insurance information and ensuring timely billing or adjustment posting.
• Documenting all relevant actions and communication steps in assigned patient accounting systems.
• Maintaining working knowledge of all state and federal program requirements; shares information with colleagues and supervisors.
• Developing and maintaining proactive working relationship with county/state/federal Medicaid caseworker partners, working collaboratively with other revenue cycle departments and associates.
• Other job duties as assigned.

• Interviews uninsured/under-insured patients to determine eligibility for a state Medicaid benefit or location Financial Assistance program.
• Assists with application processes to facilitate accurate and appropriate submissions.
• Follows-up on submitted applications to ensure timely billing or adjustment processing.
• Reviewing all referred uninsured/under-insured patients for program eligibility opportunities.
• Initializing and coordinating the application process to facilitate accurate and appropriate submissions.
• Effectively communicating with the patient to obtain documents that must accompany the application.
• Following submitted applications to determination point, updating applicable insurance information and ensuring timely billing or adjustment posting.
• Documenting all relevant actions and communication steps in assigned patient accounting systems.
• Maintaining working knowledge of all state and federal program requirements; shares information with colleagues and supervisors.
• Developing and maintaining proactive working relationship with county/state/federal Medicaid caseworker partners, working collaboratively with other revenue cycle departments and associates.
• Other job duties as assigned.

• Interviews uninsured/under-insured patients to determine eligibility for a state Medicaid benefit or location Financial Assistance program.
• Assists with application processes to facilitate accurate and appropriate submissions.
• Follows up on submitted applications to ensure timely billing or adjustment processing.
• Documenting all relevant actions and communication steps in assigned patient accounting systems.
• Maintaining working knowledge of all state and federal program requirements; shares information with colleagues and supervisors.
• Developing and maintaining proactive working relationships with county/state/federal Medicaid caseworker partners, working collaboratively with other revenue cycle departments and associates.
• Other job duties as assigned.

Director

• oversee and provide direction for the assessment process including all activities starting with execution on the Statement of Work (SOW).
• coordinate with all presenters to review Assessment deliverables and ensure all key data elements are captured.
• collaborate with the marketing and sales team to set presentation date and finalization of Assessment documents.
• direct the coordination of internal kick-off and recurring rounding meetings.
• run end of day internal review sessions to capture highlights, including findings and potential compliance risk items.

Director, Assessments

• The Partnership Success Director is responsible for day-to-day client operations and the planning, development, and implementation of policies, objectives, and initiatives for acute or physician revenue cycle activities.
• This role forms and nurtures relationships with clients, influences and directs operations, and ensures results are consistently delivered.
• The Director communicates organizational values and positive leadership to all associates and is accountable for client performance expectations.
• Position is responsible for <$1B net revenue or <5 facilities under management.
• Articulates plans with client deliverables, timelines, outcomes, and actions, and monitors bad debt and process improvements in key areas.
• Identifies gaps in client support or performance and proposes solutions to drive improvement.
• Builds relationships and organizational alignment, influences decisions, and engages onsite operational teams to drive results.
• Participates and leads program-level meetings with stakeholders, working closely with CFO and client leadership to support analysis, reporting, and service line development.
• Acts as a revenue cycle expert, ensuring prompt communication of changes related to payer policies, contracting, regulatory updates, and compliance requirements.
• Assists client leadership in understanding revenue cycle processes, metrics, tools, and reports.
• Facilitates monthly client meetings to review operations performance, strategic initiatives, partnership opportunities, and escalated support needs.

Director, Client Delivery

Counselor

• Perform benefit education and validation for inpatient services
• Collect estimated patient liabilities including copays and deductibles
• Communicate with patients face-to-face during their stay to assess insurance and financial information
• Make follow-up calls to patients post-discharge regarding payment options
• Work with eligibility specialists on verification of insurance information and financial assistance

Financial Counselor Specialist

• The Partnership Success Director is responsible for day-to-day client operations and the planning, development, and implementation of policies, objectives, and initiatives for acute or physician revenue cycle activities.
• This role forms and nurtures relationships with clients, influences and directs operations, and ensures results are consistently delivered.
• The Director communicates organizational values and positive leadership to all associates and is accountable for client performance expectations.
• Position is responsible for <$1B net revenue or <5 facilities under management.
• Articulate plans with client deliverables, timelines, outcomes, and actions, and monitor bad debt and process improvements in key areas.
• Identifies gaps in client support or performance and proposes solutions to drive improvement.
• Builds relationships and organizational alignment, influences decisions, and engages onsite operational teams to drive results.
• Participates and leads program-level meetings with stakeholders, working closely with CFO and client leadership to support analysis, reporting, and service line development.
• Acts as a revenue cycle expert, ensuring prompt communication of changes related to payer policies, contracting, regulatory updates, and compliance requirements.
• Assists client leadership in understanding revenue cycle processes, metrics, tools, and reports.
• Facilitates monthly client meetings to review operations performance, strategic initiatives, partnership opportunities, and escalated support needs.

• Responsible for day-to-day client operations and the planning, development, and implementation of policies, objectives and initiatives for revenue cycle activities.
• Review and implement systematic approaches to maximize revenue and cash flow.
• Form and nurture relationships with clients to meet performance expectations.
• Monitor and manage cash flow to ensure achievement of client goals.

Director II – Partnership Success

Billing Specialist

• Works daily failed bills/claims on all systems including late charges, rebills and additional billing reports
• Reviews/Updates failed bills & claims on the host system and within billing vendor
• Works daily electronic submissions (or 277's) resolving claim issues
• Monitors daily claims errors and resolutions providing recommendations on systems fixes going forward
• 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 and educate staff, providing testing
• Work absentee staffing desk's

Senior Physician Billing Specialist

• Interviews uninsured/under-insured patients to determine eligibility for a state Medicaid benefit or location Financial Assistance program.
• Assists with application processes to facilitate accurate and appropriate submissions.
• Follows-up on submitted applications to ensure timely billing or adjustment processing.
• Reviewing all referred uninsured/under-insured patients for program eligibility opportunities, initializing and coordinating the application process to facilitate accurate and appropriate submissions.
• Effectively communicating with the patient to obtain documents that must accompany the application.
• Following submitted applications to determination point, updating applicable insurance information and ensuring timely billing or adjustment posting.
• Documenting all relevant actions and communication steps in assigned patient accounting systems.
• Maintaining working knowledge of all state and federal program requirements; shares information with colleagues and supervisors.
• Developing and maintaining proactive working relationships with county/state/federal Medicaid caseworker partners, working collaboratively with other revenue cycle departments and associates.
• Other job duties as assigned.