Ensemble Health Partners

Accounts Receivable

• Support the designated leadership team in Revenue Cycle
• Assist team members with problematic claims
• Develop short and long-term plans to improve revenue
• Work with insurance companies regarding denied payments
• Empower staff for process improvement
• Perform ongoing process improvement of accounts receivable functions
• Analyze trends in unpaid claims and denial activity

Accounts Receivable Manager

Manager

• The Manager of Patient Access is responsible for planning, developing, organizing, and managing the Patient Access department.
• Responsible for performance and effectiveness of these department(s).
• The Manager will be responsible for the coaching and development of all staff performing these functions and implementing short and long-term plans and objectives to improve customer service and collect quality information.
• Provide leadership and contribute to the revenue cycle and organizational goals.
• Work closely with the Director of Patient Access to align processes and procedures with Ensemble Health Partners policies at an assigned facility or market.

Patient Access Manager

• Manager of Patient Access is responsible for planning, developing, organizing, and managing the Patient Access department
• Responsible for performance and effectiveness of department(s)
• Coaching and development of all staff performing these functions
• Implementing short and long-term plans and objectives to improve customer service
• Managing Financial Service Representatives ensuring proper accounting processes are followed
• Developing and managing departmental staffing needs

Events

• Performing admitting duties for all patients admitted for services at the hospital
• Assigning accurate MRNs, completing medical necessity/compliance checks
• Providing proper patient instructions, collecting insurance information
• Receiving and processing physician orders, operating the telephone switchboard
• Conducting audits of accounts and ensuring forms are completed accurately
• Pre-registration of patient accounts prior to visits

Patient Access Specialist

Accounts Payable

• Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
• Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
• Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.
• Assist the AP team in training new associates
• Serve as AP Specialist backup on an as needed basis
• Assist with writing AP processes and procedures
• Prepare and reconcile accounts to statements, customer’s invoice chargebacks, outstanding checks/VCA/ACH returns
• Prepare and manage ad hoc statistical reports related to accounts payable
• Manage supplier relationships, research and work with other internal departments to resolve invoice discrepancies or invoice rejections
• Conduct reconciliations and internal audits of invoices and expense reports to identify discrepancies and offer recommendations for process improvements
• Responsible for pulling billable expenses
• Review supplier information and perform TIN matching
• Assist with 1099 processing
• Other duties as assigned

Accounts Payable Analyst

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 insure timely billing or adjustment processing.
• Reviewing all referred uninsured/under-insured patients for program eligibility opportunities.
• 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.

Senior Public Benefit Specialist

Security Engineer

• Design, develop, manage, and maintain secure infrastructure leveraging security technologies
• Analyze existing structures and create new security methods
• Manage, configure, finetune, and deploy native security policies
• Stay informed on current threats and identify potential vulnerabilities
• Track and document responses to security-related incidents
• Collaborate with security and IT teams for mitigation plans
• Participate in IT projects and assess security control integrations

Engineer II, Cybersecurity

• Responsible for the creation and management of assessment documents and activities
• Assist in the tasks related to the assessment process from the executed Statement of Work (SOW) through the final client presentation
• Create, maintain, and update Assessment documents
• Coordinate and assist with logistics for client assessments
• Participate in weekly meetings with Operational Leaders for each new client

Assessments Manager

Operations

• Follow up on patient accounts with a self-pay balance
• Print and mail medical records, itemized bills, and other documents
• Review patient accounts for errors and communicate with other departments for corrections

Self Pay Operations Specialist II

Medical writer

• Facilitates and obtains appropriate physician documentation for any patient clinical condition or procedure
• Completes timely initial and concurrent reviews of the patient medical record for Diagnosis Related Group (DRG) and documentation integrity utilizing CDI Software
• Assigns working Principal diagnosis, complication and comorbidity/major complication and comorbidity (CC/MCC)
• Clarifies with providers regarding missing, unclear, unsupported or conflicting medical record documentation per regulatory guidelines
• Educates healthcare providers regarding clinical documentation improvement and documentation guidelines
• Partners with coding professionals to ensure accuracy of documentation

RN Clinical Documentation Specialist

• Lead the design, implementation, and support of secure network infrastructure across healthcare RCM platforms
• Manage and optimize Palo Alto Networks solutions including firewalls, Panorama, GlobalProtect, and threat prevention services
• Ensure HIPAA-compliant network architecture and enforce security policies aligned with healthcare regulations
• Collaborate with cybersecurity, compliance, and RCM application teams to ensure secure data transmission and system interoperability
• Monitor network performance and proactively address latency, downtime, and security vulnerabilities affecting RCM workflows
• Lead network incident response and root cause analysis for outages impacting revenue cycle operations
• Provide technical leadership and mentorship to network engineers and support staff
• Maintain documentation and change management processes in alignment with healthcare IT standards
• Evaluate and implement network technologies that enhance scalability, security, and automation in RCM environments
• Assist with implementation, and maintenance of Cisco Unified Communications (UC) systems (Call Manager, Unity Connection) and Five9 Contact Center solutions to ensure seamless communication

Manager, Network and Telecom

• 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 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.

Bilingual Public Benefit Specialist

Director

• Oversee day-to-day client operations and revenue cycle activities
• Form and nurture client relationships to meet performance expectations
• Communicate organizational values and leadership to associates
• Monitor bad debt and identify process improvements

Director I, Client Delivery

Affiliate Manager

• Practice Optimization Partners working with and advising clinic operators and leaders to maximize revenue cycle performance
• Assess and examine client revenue cycle processes in the physician practice (front end – first phone call through charge submission/reconciliation)
• Conduct root cause analysis and deliver actionable recommendations
• Independently conduct research to formulate solutions to challenges
• Create educational content derived from root cause analysis and instruct practice staff
• Collaborate seamlessly with other revenue cycle teams to address and resolve issues while delivering a high level, personalized service within the defined team scope.

Associate Partner, Practice Optimization

• Responsible for planning, developing, organizing, and managing the Patient Access department
• Responsible for performance and effectiveness of these department(s)
• Coaching and development of all staff performing these functions
• Implementing short and long-term plans and objectives to improve customer service and collect quality information
• Provide leadership and contribute to revenue cycle and organizational goals