Manager, Revenue Integrity

🕒 November 5

🇺🇸 United States – Remote

💵 $84k - $110k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💹 Revenue Operations

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• Open for 8 days.
• Jobs at this company usually fill in 24 days.

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Ensemble Health Partners

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

💼 Consulting

🛡️ Insurance

📦 Logistics

💰 Private Equity Round on 2022-03

Consulting • Insurance • Logistics

Ensemble Health Partners is a leading provider of revenue cycle management (RCM) services for healthcare organizations. They offer an end-to-end RCM solution that helps hospitals, health systems, and affiliated physician groups optimize their revenue cycles, reduce denials and underpayments, and enhance patient experiences using a combination of expert management and advanced technology. Ensemble Health Partners leverages certified operators and AI to deliver consistent results, improve collections, and support future growth for healthcare providers. They are recognized for their robust client partnerships and commitment to delivering reliable revenue lift and cost savings for their clients.

📋 Description

• Manage all Revenue Integrity and charge capture activities and department performance • Implement short- and long-term plans to resolve Epic revenue integrity edits within deadlines • Ensure compliant charge capture practices and timely claims filing • Reduce denials and coordinate with Revenue Cycle departments to manage DNFB and ensure timely insurance payments • Lead process improvement planning, prioritization, performance assessments, and implementation • Set departmental behavioral and performance standards • Manage revenue integrity activities across Ensemble clients • Identify charge capture trends and issues and educate clinical staff on charge capture and revenue reconciliation • Coordinate weekly and monthly department meetings • Interview, hire, staff, manage performance, develop, counsel, and discipline employees • Develop and maintain new-hire and existing-staff training and education programs • Develop and implement job standards, duties, policies, and performance appraisals • Prepare monthly analytics reports • Establish departmental goals to optimize performance, meet budgetary goals, improve operations, and increase customer satisfaction • Collect, interpret, and communicate performance data using various tools and systems • Make decisions to achieve performance goals and impact organizational or patient outcomes • Collaborate with internal and external customers and ancillary departments • Assist in strategic planning and ongoing process improvement evaluation • Review, update, and implement policies and procedures

🎯 Requirements

• CRCR through HFMA, coding certification or equivalent, or another approved job-relevant certification • 5 to 7 years of overall work experience • 3 to 5 years of people leadership experience • High school diploma, GED, or equivalent experience • Business or healthcare field education • 5 or more years of experience in Revenue Integrity or Revenue Cycle Operations • Experience in healthcare operations, Revenue Cycle Operations, charge capture, and billing • Residence and authorization to work within the United States • Ability to work in a general office environment or from home

🏖️ Benefits

• Comprehensive benefits package including healthcare, time off, retirement, and well-being programs • Professional certification relevant to the associate’s field • Tuition reimbursement • Quarterly and annual incentive programs • Work-life flexibility • Professional development opportunities • Remote work arrangement

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