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拒付预防收入周期分析师

雇主

Ensemble Health Partners

地点

远程 · 美国

待遇

$USD 62,500 - USD 79,800 / annual

工作模式

远程

截止日期

12月13日

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岗位摘要

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.

岗位职责

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:
CAREER OPPORTUNITY OFFERING:
Bonus Incentives
Paid Certifications
Tuition Reimbursement
Comprehensive Benefits
Career Advancement
This position pays between $62,500.00 - $79,800.00/ based on experience
The Revenue Cycle Analyst is responsible for performing in-depth analysis of claims, payments, and account reconciliations to ensure accuracy and compliance across the revenue cycle. This role identifies trends in underpayments, denials, and revenue leakage, evaluates root causes, and recommends corrective actions to improve financial performance. Key responsibilities include reviewing and validating claim and payment data, interpreting contract reimbursement terms, preparing detailed reports, and working assigned underpayment projects. The analyst collaborates with cross-functional teams, escalates complex issues, and supports continuous improvement initiatives to optimize processes and reduce cycle times. Success in this role requires strong analytical capabilities, attention to detail, and the ability to communicate findings effectively to stakeholders while driving operational excellence within the revenue cycle.
Essential JobFunctions:
Provides service level revenue cycle operations reporting and analysis within revenue cycle services.
Escalates issues and concerns with leadership to identify and resolve service level issues.
Analyze and understand historical data and staffing to forecast future requirements.
Supports the review, recommendation and implementation of metrics and reporting for Revenue Cycle Services.
Assists in strategic planning and performs ongoing process improvement evaluation.
Provides exceptional service to internal and external stakeholders.
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.
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.
Required Experience:
1 to 3 Years experience
Demonstrated advanced usage of AI and the management of teams using AI to lean into 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.
Education Level: Bachelor’s Degree or Equivalent Experience
Join an award-winning company
Five-time winner of “Best in KLAS” 2020-2022, 2024-2025
Black Book Research's Top RevenueCycle 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 WorkplacesUSA 2022-2024
Fortune Media Best Workplacesin Healthcare 2024
Monster Top Workplacefor Remote Work 2024
Great Placeto 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.
Due to business, operational, payroll, and regulatory requirements, this position is limited to individuals who reside and are authorized to work within the United States. Applications generated from outside the United States will not be considered. Individuals may reapply when located within the United States.
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 .
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.
Employment Disclaimers – Ensemble
Originally posted on Himalayas

申请条件

- 具备医疗收入周期管理相关经验,熟悉理赔、付款和账户对账流程
- 能够深入分析理赔、付款和账户数据,识别少付、拒付和收入流失趋势
- 具备评估问题根本原因并提出纠正措施的能力
- 能够审查和验证理赔及付款数据
- 能够解读合同报销条款
- 具备编制详细报告的能力
- 能够独立完成分配的少付项目工作
- 具备跨职能团队协作能力
- 能够识别并上报复杂问题
- 具备较强的分析能力和细节关注能力
- 熟悉医疗行业合规要求
- 具备良好的沟通能力

雇主简介

Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups, offering end-to-end solutions and point solutions across the country.

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数据来源:Himalayas

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