Revenue Recovery Technology Specialist

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:

By embodying our core purpose of customer obsession, new ideas, and driving innovation, and delivering excellence, you will help ensure that every touchpoint is meaningful and contributes to our mission of redefining the possible in healthcare.

The Revenue Recovery Technology Specialist will assist with the producing, validation and updates to all Ensemble Revenue Recovery technology. The associate will provide up-to-date, thorough, and relevant education to all Revenue Recovery client teams with relation to updates made within Ensemble IQ (EIQ). This will include Educational Spotlights (with both PowerPoint and Word documents available after, as well as a recorded version of the training) on up-to-date opportunities for the identification of and collection of underpaid claims. Responsibilities also include serving as a technology subject matter expert within the Revenue Recovery Service line, validity of all reporting data, reaching out to leadership for answers when needed, and ensuring that the information is disseminated to the entirety of the team.

Maintain the Microsoft Teams site environment which houses all technology documents. This includes but is not limited to building out of all new client rules, updates to existing rules, and tracking of hit rate opportunities.

Research, build, upload and test prediction rules within EIQ for all new and existing clients, while also assisting in the identification of new underpayment opportunities. Ensure that all teams are aware of the updates made and are educated on how and when to use them. Regularly review the prediction rules to determine if new and/or updated rules are needed and build them into all client packages accordingly.

• 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.
• Must have excellent written and spoken communication abilities. Must demonstrate active, engaging, training tactics that engage audiences, especially virtually. Serve as subject matter expert on the ROAR service lines, what they do, and how they support each other. Engage with all the client teams as a non-competitive, useful resource.
• 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.
• Analyzes variances and trends to identify problems and/ or trends with an understanding of all Revenue Cycle aspects including but not limited to Billing, Coding, Revenue Integrity, Denials, etc
• Evaluation of current processes and tools and propose changes in order to drive efficiencies within the organization
• Ensure effective monitoring and reporting controls are in place to improve performance
• Coordinate operational objectives by contributing information and recommendations to strategic plans and reviews, preparing and completing action plans
• Ensure that all projects are completed on-time, within scope and all barriers are communicated to the appropriate parties
• 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.

Ensemble Required License / Certification (Ex: CRCR) ONE CERTIFICATION PER FIELD

• CRCR Or other approved job relevant certification

People Leadership Experience

• 5 to 7 Years

Preferred Area of Study

• Bachelors Degree or Equivalent Experience

Other Preferred Knowledge, Skills and Abilities

• Proficiency with MS Access and Excel
• Proficiency with Business Objects
• Proficiency with SQL
• 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

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.

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 TA@ensemblehp.com.

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