Billing Associate Specialist
$17 - $18.65 per hourEnsemble Health Partners
Thank you for considering a career at Ensemble! Ensemble 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! O.N.E Purpose:
Job Responsibilities :
Certifications: CRCR Required within 6 months of hire Required Knowledge, Skills and Abilities:
- Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
- Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
- Striving for Excellence: Execute at a high level by demonstrating our "Best in KLAS" Ensemble Difference Principles and consistently delivering outstanding results.
- Bonus Incentives
- Paid Certifications
- Tuition Reimbursement
- Comprehensive Benefits
- Career Advancement
- This position pays between $ $17.00 - $18.65/hr based on experience
Job Responsibilities :
- This role is responsible for resolving multidisciplinary claim edits-including registration, coding, revenue integrity, and billing-to ensure accurate and timely claim submission.
- Works daily electronic 277s, RTPs, failed bills, late charges, rebills, and failed claims within host systems and billing vendors, while also processing hardcopy claims and attaching required documentation such as EOBs and medical records.
- Collaborate closely with Billing and Denials Management to identify trends, recommend new claim rules and edits, and support compliant billing practices, in addition to monitoring electronic claim transfers and helping manage unbilled accounts across all systems.
- Contacting patients, insurers, and third parties for missing insurance or billing information; preparing documents for audits; updating tracking and Excel reports; and creating SOPs, policies, flowcharts, and training materials to support staff development.
- Assists with new client implementations by preparing unbilled reports and playbooks, participating in unbilled meetings, and helping drive performance improvements related to DNFB, DNFS, and key billing metrics.
- May float to cover absentee staffing needs and are expected to remain current on state and federal coding, billing, and revenue integrity changes, ensuring compliance for assigned clients and communicating updates to the team.
- Performs other duties as assigned
Certifications: CRCR Required within 6 months of hire Required Knowledge, Skills and Abilities:
- Required: 1-2 years' experience hospital billing.
- Experience in hospital operations, compliance and provider relations preferred.
- Insurance Follow-up experience
- Home health care experience (Billing side)
- Epic experience
- Medicare, Medicaid, HMO and managed care experience
- Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.
- Innovation
- Work-Life Flexibility
- Leadership
- Purpose + Values
- 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.
Vacancy posted 5 days ago
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