Billing Services Director

🔥 12 hours ago

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Ensemble Health Partners

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

⚕️ Healthcare Insurance

☁️ SaaS

🏢 Enterprise

💰 Private Equity Round on 2022-03

Healthcare Insurance • SaaS • Enterprise

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

• Lead day-to-day billing operations, including charge capture, claim submission, edits/work queues, and billing accuracy • Drive process improvements to enhance clean claim rate, reduce rework, and accelerate reimbursement timelines • Partner with Coding, A/R, and Denials teams to ensure alignment across the revenue cycle and reduce downstream issues • Monitor key performance indicators (KPIs) such as clean claim rate, billing lag, denial rates, and cash conversion metrics • Identify trends and root causes of billing errors, edit failures, and payer denials, implementing sustainable solutions • Ensure compliance with CMS regulations, payer guidelines, and internal policies across all billing functions • Oversee and standardize workflows, policies, and procedures to support consistency and scalability across teams • Serve as an escalation point for complex billing issues, payer disputes, and client concerns • Partner with Technology and Operations teams to optimize billing systems, automation, and reporting capabilities • Lead, mentor, and develop high-performing teams, fostering a culture of accountability and continuous improvement

🎯 Requirements

• Bachelor’s degree required; Master’s degree preferred (Healthcare Administration, Business, or related field) • 7+ years of progressive leadership experience in healthcare billing, revenue cycle, or related operations • Strong knowledge of professional and/or hospital billing processes, workflows, and payer requirements • Demonstrated success improving billing performance metrics and operational efficiency • Experience leading multi-site or multi-client billing operations • Strong analytical and problem-solving skills with the ability to leverage data for decision-making • Proven ability to lead cross-functional initiatives and influence stakeholders at all levels • Excellent communication, leadership, and client-facing skills.

🏖️ Benefits

• Healthcare • Time off • Retirement plans • Well-being programs • Professional development opportunities