Ensemble Health Partners

IT Support

• Interviews uninsured/under-insured patients to determine eligibility for 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 patients for program eligibility opportunities
• Effectively communicating with patients to obtain documents that must accompany the application.
• Following submitted applications to determination point, updating applicable insurance information.

Public Benefit Specialist

Full-stack Engineer

• Design, deploy, configure, and maintain Five9 Contact Center solutions to meet business requirements.
• Collaborate with cross-functional teams to gather telephony-related requirements and provide technical expertise during solution design and implementation phases.
• Perform system upgrades, patches, and updates for all telephony platforms to ensure optimal performance, security, and compliance.
• Study, analyze and understand business requirements in context to business intelligence, design and map data models to shift raw data into meaningful insights.
• Proactively identify areas for improvement and propose enhancements to enhance system performance, scalability, and reliability.
• Utilize Power BI to build interactive and visually appealing dashboards and reports, with key performance indicators Analyze previous and present data for better decision making, building multi-dimensional data models.
• Conduct regular system audits and performance assessments, producing reports and recommendations for continuous improvements.
• Develop strong data documentation about algorithms, parameters, models, perform detailed analysis on tested and deployed Power BI scripts, DAX queries and functions in Power BI.
• Participate in on-call rotations to provide after-hours support for critical incidents or emergencies.
• Stay up-to-date with industry trends and best practices in telephony, contact center technologies, and communication protocols.

Senior Software Engineer

Analyst

• Demonstrate Customer Obsession by delivering exceptional experiences for clients, patients, and colleagues through a deep understanding of their needs.
• Embrace New Ideas by leveraging emerging technologies and supporting a culture of creativity and innovation.
• Strive for Excellence by executing work at a high level and demonstrating Ensemble’s “Best in KLAS” Difference Principles.
• Provide service‑level Revenue Cycle operations reporting and analysis.
• Analyze historical data and staffing trends to forecast future operational needs.
• Support the development, review, and implementation of Revenue Cycle metrics and reporting.
• Identify, escalate, and partner with leadership to resolve service‑level issues.
• Assist with strategic planning and ongoing process improvement initiatives.
• Provide exceptional service and support to internal and external stakeholders.
• Maintain ownership of assigned Revenue Cycle technologies and/or processes.

Analyst, Revenue Cycle I

• 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.

Senior Public Benefit Specialist

Director

• Leads underpayment activities
• Coordinates training, productivity, development of policies and procedures
• Ensures compliance with all Ensemble Health Partners, client, government and regulatory guidelines
• Monitors trends in underpayments and works with both payors and other departments to resolve underlying reasons for variances
• Monitors ongoing issues to ensure new processes are consistently followed and maintained
• Develops high-level management reports for senior leadership related to the volumes and trends of underpayments
• Develops weekly and monthly reporting to identify gaps in operations and works with key parties to resolve issues
• Sets departmental priorities and procedures in accordance with best practices to utilize allocated resources to meet the KPIs related to underpayment identification and recovery
• Identifies gaps in client support and performance and proposes solutions through technology, services, or processes to drive performance improvement
• Promotes a culture of two-way communications while creating opportunities for activities focused on employee engagement, including intentional coaching and mentoring
• Coordinates directly with or delegates coordination with Managed Care, Denials, and Payor Strategy to resolve high volume and high dollar underpayment issues
• Participates in monthly, quarterly, and annual key indicator goal setting

Public Benefit Specialist

Senior Software Engineer

Analyst, Revenue Cycle I

Senior Public Benefit Specialist

Director, Revenue Recovery