Senior Denials Prevention Process Improvement Advisor

🕒 May 21

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Ensemble Health Partners

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 the performance of deep dive analysis on clinical and technical denials • Identify patterns and trends relative to acute denials • Perform root cause analysis on denied accounts • Guide and influence subject matter experts through assessments of operations • Oversee completion of denial prevention committee reports • Establish and maintain client relationships to drive best practice implementations • Create materials and train denial prevention staff

🎯 Requirements

• 4 year/ Bachelor's Degree in Healthcare administration, Business or related discipline • Certified Specialist Managed Care (CSMC) preferred • LEAN Six Sigma Black Belt and Certified Revenue Cycle Representative (CRCR) preferred • Project Work • Intermediate Excel & Access Skills • Project Management • Data Analytics • Demonstrated advanced usage of AI for process improvements

🏖️ Benefits

• Bonus Incentives • Paid Certifications • Tuition Reimbursement • Comprehensive Benefits • Career Advancement

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