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:
The Director is responsible for day to day client operations and the planning, development, and implementation of policies, objectives and initiatives for acute or physician revenue cycle activities including outsourced vendors, clients and in-house functional areas of Patient Access (including but not limited to Patient Scheduling, Pre-Access/Registration, Registration Admissions, and Financial Counseling), Health Information Management (including but not limited to Site Medical Records management, Release of Information, Transcription), and Patient Financial Services (including but not limited to Billing, Charge Master/Revenue Integrity, Insurance Follow-Up, Customer Service, Cash Posting, Denials Management, Payment Variance, and Collections).respective Client Delivery. This position reviews and implements systematic approaches to maximize revenue and cash flow and to ensure results are consistently delivered. As the face of Ensemble, this person is responsible for forming and nurturing relationships with the client and meeting client performance expectations through influence and direction of client and Ensemble operations. This position is required to communicate organizational values and positive leadership to all associates within the organization.
Job Competencies
- Leadership: Has a continuous and consistent virtual and onsite presence at the client assigned facilities and virtual presence with our internal Central Business Offices (CBOs) to provide support, review processes, provide feedback and identify areas of opportunity.
- Maintains knowledge of Revenue Cycle best practices ensuring high productivity and proficiency standards are met.
- Promotes a culture of collaboration between the CBO and facilities and serves as a positive role model for Revenue Cycle.
- Demonstrated ability to manage the day-to-day operations of multiple mid to large sized organizations providing a diverse and complex offering of services to the community.
- Ensures that appropriate documentation and education materials are used in all departments that you are responsible for and identifies any educational needs and communicates to the appropriate leader for development.
- Understands and stays abreast of payer requirements and changes in the industry and communicates those changes as well as the financial impact to local leadership.
- Represents Revenue Cycle on site-specific in person or virtual Finance and Operations meetings.
- Performance Monitoring/Improvement: Works collaboratively with departments to understand impact of facility operations and workflows on Revenue Cycle performance. Has a working knowledge of revenue cycle projects and performance metrics, how they relate to best practice and industry standard benchmarks and the operational changes necessary to ensure top tier performance.
- Monitors performance KPIs and routine reports including, but not limited to: Registration Accuracy, POS Collections, Denial Rate, Estimate Utilization, Elective Self-Pay, Timely Recurring Discharges, DNFB/CFB, High-Dollar In-house, Medical Necessity Issues, Recoupments, Charge Reconciliation and Accuracy, and Late Charges.
- Review and resolve accounts on hold or in DNFB/CFB status and work with appropriate leadership for Missing Documentation or Claim Edits. Participates in/Leads the Denial Avoidance Committee and ensures performance improvement plans are developed and implemented.
- Coaching & Building Talent - Achieves results through other leaders by empowering them and providing feedback, instruction, and development (coaching the coach) to develop their own associates; plans and supports the growth of individual skills and abilities in preparation for their next role (building bench); focuses on retention of high performers.
- Innovation: Demonstrated ability to work independently to ensure Revenue Cycle operations are managed efficiently and effectively.
- Ensures that best practice Revenue Cycle processes are communicated and implemented where necessary.
- Coordinates with the facility CFO to discuss both strengths and opportunities for improvement to meet performance metrics. Makes suggestions for process improvements and develops project plans with target milestone dates.
- Delegation - Successfully shares authority and responsibilities with others to move decision making and accountability downward through the organization while accomplishing strategic priorities; maintains personal ownership of outcomes without excessive involvement.
- Leading Teams - Inspires and sustains team unity and engagement by developing, motivating, and guiding the team to achieve results together through productive relationships and work.
- Executive Communication and Presence- Clearly and succinctly conveys information and ideas; communicates in a focused and compelling way that captures and holds others’ attention (appropriate, impactful, and clear). Acts with utmost professionalism at all times.
- Program/Project Management - Demonstrates high accountability and responsibility for projects and programs from inception through completion/implementation; manages budget and resource planning and awareness to ensure maximized output, reduced waste and exceptional results.
Essential Job Functions
- Articulates in writing plans with client deliverables, timelines, outcomes, and actions.
- Monitors bad debt and identifies process issues/improvements in areas such as registration, upfront collections, Medicaid eligibility Identifies gaps in client support/performance and proposes solutions (e.g. technology, services, processes) to drive performance improvement
- Has strong interpersonal skills and proven ability to build relationships and organization alignment, influence decisions, engage onsite operational teams and drive results.
- Participates and leads program level meetings with program stakeholders.
- Works closely with CFO and other client leadership to support analysis, reporting and service line development.
- Acts as Client Revenue Cycle expert and ensures prompt communication of emerging changes related to payer policies, contracting, regulatory updates and compliance requirements.
- Assists client leadership in understanding revenue cycle processes, metrics, tools, and reports.
- Facilitates monthly client meeting to review the revenue cycle operations performance and opportunities for improvement, strategic initiatives, partnership opportunities and escalated client support needs
- Promptly escalates operational and/or client concerns to Ensemble leadership.
Employment Qualifications
- CRCR
- 3-5 years job related experience
- Demonstrated advanced usage of AI and the management of teams using AI to lean in to process and technological improvements, to include the exploration, experimentation, and application of AI.
- 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.
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.
Join an award-winning company
Five-time winner of “Best in KLAS” 2020-2022, 2024-2025
Black Book Research's 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 Group's RCM Operations PEAK Matrix Assessment 2024
Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023
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 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 also prohibits harassment of applicants or employees based on any of these protected categories.
Ensemble 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 [email protected].
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 role’s range.
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