Sr Spec Billing
Sr Spec Billing
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Job Description
Thank you for considering a career at Ensemble Health Partners!
Ensemble Health Partners 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:
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.
The Opportunity:
Job duties include but are not limited to performing daily billing tasks: Working daily failed bills/claims on all systems including late charges rebills and any additional billing reports.
Reviews/Updates failed bills & claims within the host system the billing vendor EIQ along with any additional system needed to ensure timely billing. Works daily electronic 277s resolving
claim issues including RTPs. Works daily late charges & rebills. Bills hardcopy claims attaching any needed documentation for payment. Pulls EOBs and Medical Records as needed
attaching to claims and mailing. Pulling UBs/Itemized for audits and print/mail hardcopy UBs with any added documents. Contact patients insurance any third party for insurance information or any additional billing data when needed. Floats to work absentee staffing desks. Assist with monitoring all unbilled accounts within host systems billing vendors or any additional systems utilized. Assist with resolving errored claims as needed. Assist with the creation of SOPs Policies and flow charts as needed. Assist with new client implementations by assisting with preparation of the clients unbilled reports and unbilled meetings completion of Best Practice Tracker and playbooks. Assist with driving results related to but not limited to DNFB and DNFS performance. Provide assistance with driving the management of client KPIs and Ensemble Health Partners Billing key metrics. Create training documents then trains and tests staff. Remain familiar of all billing changes on state and federal levels for assigned clients while ensuring team members are also made aware of changes. Pull and records end of day unbilled volumes and dollars. As a Senior Specialist Billing will be responsible to be cross trained in multiple clients. They will perform these duties while meeting the mission and goals of Ensemble Health Partners as well as meeting the regulatory compliance requirements.
- Reviews/Updates failed bills & claims on host system and within billing vendor.
- Works daily electronic submissions (or 277s) resolving claim issues.
- Monitors daily claims errors and resolution providing recommendations on systems fixs going forward.
- Works daily late charges & rebills.
- Bills hardcopy claims attaching any needed documentation for payment.
- Pulls EOBs 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 educate staff providing testing.
- Work absentee staffing desks
- CPB Certified
Job Experience/People Leadership Experience
- 1 to 3 Years
- 2 years of an accredited degree or equal experience. Must also be CPB Certified. Internal candidate must have met 100% productivity and 95 % quality assurance for the prior 3 month period.
- Must have billing experience on multiple payers or a SME on one payer. Must demonstrate basic computer knowledge and demonstrate proficiency in Microsoft Excel. Must pass typing test of 35 words per minute (error adjusted). Must be able to provide a mock training session to the interviewer (s).
Join an award-winning company
Five-time winner of Best in KLAS
Black Book Researchs Top Revenue Cycle Management Outsourcing Solution 2021-2024
22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024
Leader in Everest Groups RCM Operations PEAK Matrix Assessment 2024
Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance-2023
Energage Top Workplaces USA 2022-2024
Fortune Media Best Workplaces in Healthcare 2024
Monster Top Workplace for Remote Work 2024
Great Place to Work certified 2023-2024
Innovation
Work-Life Flexibility
Leadership
Purpose Values
Bottom line we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:
- 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.
Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race color sex sexual orientation gender gender identity religion national origin age disability military or veteran status genetic information or any other basis protected by applicable federal state or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.
Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process please contact .
This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the roles range.
EEOC Know Your Rights
FMLA Rights - English
Required Experience:
Senior IC
Employment Type
Full-Time
