Billing Integrity Specialist

Ensemble Health Partners

22h • $19 - $21 • Remote

About The Position

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: 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: ENTRY LEVEL CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement The starting pay for this position is $18.65 to $20.50 /hr, final compensation will be based on experience Job Summary The Specialist of Billing Integrity II performs mulitiple revenue cycle systems activities by blended client assignment and/or enterprise wide Essential Job Functions Resolving multi-disciplanry edits (i.e. registration, coding, revenue integrity, billing, etc.) Collaborates with Billing and Denials Management department to identify trend analysis of multidisciplinary errors by identifying new claims rules/edit needs to facilitate accurate billing Works daily electronic 277's and or RTPs resolving claim issues Contact patients, insurance, any third party for insurance information or any additional billing data when needed Floats to work absentee staffing desks Works daily electronic 277's and or RTPs resolving claim issues. Assist with the creation of SOP's, 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 Create training documents then trains and tests staff Assist with new client implementations by assisting with preparation of the clients unbilled reports and unbilled meetings, completion of Best Practice Tracker and playbooks. Remain familiar of all coding, revenue integrity and billing changes on state and federal levels for assigned clients, while ensuring team members are also made aware of changes As a Specialist Billing Integrity II, the candidate will be responsible for being cross trained in multiple clients This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Associates may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.

Requirements

• 3-5 years experience in healthcare industry/revenue cycle functions.
• End to end revenue cycle knowledge or background.
• Experience on multiple payers regulations or a SME for one payer.
• Must demonstrate basic computer knowledge.
• Must pass typing test of 35 words per minute (error adjusted).
• 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.
• This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require.

Responsibilities

• Resolving multi-disciplanry edits (i.e. registration, coding, revenue integrity, billing, etc.)
• Collaborates with Billing and Denials Management department to identify trend analysis of multidisciplinary errors by identifying new claims rules/edit needs to facilitate accurate billing
• Works daily electronic 277's and or RTPs resolving claim issues
• Contact patients, insurance, any third party for insurance information or any additional billing data when needed
• Floats to work absentee staffing desks
• Works daily electronic 277's and or RTPs resolving claim issues.
• Assist with the creation of SOP's, 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
• Create training documents then trains and tests staff
• Assist with new client implementations by assisting with preparation of the clients unbilled reports and unbilled meetings, completion of Best Practice Tracker and playbooks.
• Remain familiar of all coding, revenue integrity and billing changes on state and federal levels for assigned clients, while ensuring team members are also made aware of changes
• As a Specialist Billing Integrity II, the candidate will be responsible for being cross trained in multiple clients

Benefits

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement
• 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.
• Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed
• Number of Employees: 501-1,000 employees