Care Navigator

by Irma Moore | May 24, 2025 | Uncategorized

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
 Position Purpose: Develops, assesses, and coordinates care management activities based on member needs to provide quality, cost-effective healthcare outcomes. Develops or contributes to the development of a personalized care plan/service plan for members and educates members and their families/caregivers on services and benefit options available to improve health care access and receive appropriate high-quality care through advocacy and care coordination.

• Evaluates the needs of the member, barriers to care, the resources available, and recommends and facilitates the plan for the best outcome
• Develops or contributes to the development of a personalized care plan/service ongoing care plans/service plans and works to identify providers, specialists, and/or community resources needed for care
• Provides psychosocial and resource support to members/caregivers, and care managers to access local resources or services such as: employment, education, housing, food, participant direction, independent living, justice, foster care) based on service assessment and plans
• Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified care or services are accessible to members in a timely manner
• May monitor progress towards care plans/service plans goals and/or member status or change in condition, and collaborates with healthcare providers for care plan/service plan revision or address identified member needs, refer to care management for further evaluation as appropriate
• Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators
• May perform on-site visits to assess member’s needs and collaborate with providers or resources, as appropriate
• May provide education to care manager and/or members and their families/caregivers on procedures, healthcare provider instructions, care options, referrals, and healthcare benefits
• Other duties or responsibilities as assigned by people leader to meet the member and/or business needs
• Performs other duties as assigned.
• Complies with all policies and standards.

This is a remote position. Ideal candidates will have an LCSW, LMSW, or LSW credentials.

Education/Experience: Requires a Bachelor’s degree and 2 – 4 years of related experience. Requirement is Graduate from an Accredited School of Nursing if holding clinical licensure.

Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.

 Pay Range: $22.50 – $38.02 per hour

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.  Actual pay will be adjusted based on an individual’s skills, experience, education, and other job-related factors permitted by law.  Total compensation may also include additional forms of incentives.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Revenue Integrity Analyst

by Irma Moore | May 24, 2025 | Uncategorized

Thank you for considering a career at Ensemble Health Partners!

Ensemble Health Partners 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 $45,000 – $81,750 based on experience

​

The Revenue Integrity Analyst plays a pivotal role in ensuring financial health for acute and non-acute organization by meticulously managing the charge master, regulation code changes, work queues, charge capture, charge reconciliation, reporting, and analytical trending. This includes the identification of root cause and creation/maintenance of processes to ensure charge capture. In addition, this position is required to provide analytical insight regarding reports for charges that are not captured accurately or consistently. This position is responsible for uncovering root causes and developing a correct action plan. Recommends modifications to established practices and procedures or system functionality as needed to support Revenue Cycle and then manages implementation of those recommended changes.

Job Competencies:

Valuing Differences – Works effectively with individuals of diverse cultures, interpersonal styles, abilities, motivations, or backgrounds; seeks out and uses unique abilities, insights, and ideas. Considers the collective.

Collaboration – Works cooperatively within teams and partners with others, both internally and externally as needed, to achieve success; focuses on the results of the team, not the achievements of one person. It’s “All for One and One for All”

Accountability – Accepts personal responsibility and/or consequences of failure and successes, delivering on commitments and refocusing effort when needed. Someone who is willing to step up and own it.

Time Management – Effectively manages personal time and resources to ensure that work is completed efficiently.

Developing Trust – Gains others’ confidence by acting with integrity and following through on commitments; treats others and their ideas with respect and supports them in the face of challenges.

Takes Initiative – Takes prompt action to accomplish goals and achieve results beyond what is required; is proactive and pursues relentlessly.

Essential Job Functions:

Charge Master

• Evaluates current charging processes to diagnose the root cause of any charge inefficiencies and ensures standard charge practices are implemented.
• Analyzes changes to coding and billing rules and regulations and using independent decision making to ensure appropriate updates to CDM and charge processes are implemented.
• Prepare and present quarterly and annual CPT/HCPCS changes, annual pricing updates and provide client education material and presentation.
• Conduct thorough research to ensure the Charge Description Master (CDM) is maintained regularly.
• Leads efforts of collaboration with multi-disciplinary groups responsible for monitoring and assuring the accuracy and enhancement of hospital net revenue through management of the hospital charge master.

Operational Improvement

• Collaborates with stakeholders in revenue enhancement projects including Denial Management, APC Billing and/or other committees as needed.
• Provides leadership and expertise with various groups to develop new areas of review for future revenue enhancement and/or compliance initiatives.
• Conduct thorough analysis of billing errors and denial data to diagnose root causes. Utilizes independent decision making to execute work plans to correct identified deficiencies related to charge problems.  Responsible for problem solving and resolution of complex claim edits.
• Stay up-to-date with industry trends, emerging technologies, and regulatory changes affecting healthcare revenue cycle management and proactively share knowledge with the team.
• Perform Quality Assurance on team members, as needed.
• Trending and analysis of key data to identify areas for additional education.

Charge Capture

• Serves as subject matter expert (SME) of charge capture methodologies and helps investigate and solve charging issues and provide charge capture recommendations to clinical departments and hospital staff.
• Collaborate with client leadership to ensure charge trigger matrix is clearly documented and updated, as needed.
• Diagnoses root cause issues of charge problems and provides client education for best practice recommendations for improvement.
• Conduct root cause analysis on late charge reporting and provide client education for timely charge capture.
• Ensure effective monitoring and internal control processes in place to improve revenue capture.

Rounding with Clients

• Rounding on client revenue leaders on a quarterly basis to review questions concerning charge reconciliation, charge processes, CDM.
• Attend meetings to support system conversions, revenue cycle initiatives and foster good working relationships with key contacts.

Additional Job functions:

• Identify operational performance and revenue opportunities through detailed data review.
• Ensure effective monitoring and reporting control processes in place to improve performance.
• Evaluation of current processes and tools and propose changes in order to drive efficiencies within Revenue Cycle.
• Coordinate operational objectives by contributing information and recommendations to strategic plans and reviews; preparing and completing action plans.
• This position will be proactive in auditing and reconciling his/her own data findings, report results in order to maintain improve the quality and integrity data provided by the analyst.

Experience We Love:

• 3-5 years related experience required
• Excellent knowledge of Epic, Excel and SQL queries.
• Working knowledge of CPT & HCPCs coding guidelines.
• Excellent computer, proof reading, and written and verbal communication skills. Excellent interpersonal skills including the ability to communicate effectively with CHP internal and external customer base.
• Ability to work independently, proactively with limited supervision and also as a team player when called upon.
• Ability to work under pressure.
• Ability to maintain the security of confidential information.

Minimum Education:  

• Bachelor’s Degree or equivalent experience

Certifications:

• CRCR Required within 9 months of hire (company paid)

#LI-LS1

#LI-REMOTE

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 Health Partners 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 Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.

Ensemble Health Partners 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.

Senior Data Engineer

by Irma Moore | May 24, 2025 | Uncategorized

Chicago, Illinois, United States Apply

Later is the enterprise leader in social media and influencer marketing software, services, and data, trusted by leading brands and agencies worldwide. Following our acquisition of Mavely, the Everyday Influencer Platform®, Later enables brands to scale creator partnerships from nano to premium influencers while managing social media content and campaigns across all major social and affiliate networks. Through proprietary performance data, marketing leaders can drive attributable sales and optimize social commerce with our software platform or award-winning services. 

Later is founded on two success stories that began in 2014: Mavrck, the industry-leading influencer marketing solution (now Later Influence™), and Later, the best social media management platform (now Later Social™) and first-to-market link in bio tool, Later Link in Bio. In 2024, Mavrck and Later officially joined together as one unified business, with a shared vision: to enable the world to make a living with their creativity.

We’re trusted by the top social platforms, with partnerships and integrations with Meta, TikTok, X/Twitter, LinkedIn, YouTube, and Pinterest.

We enable marketers to create high-performing content and engage in authentic collaborations with creators to reach new audiences, drive engagement, and generate predictable ROI. 

Development at Later: 

We are builders and innovators on a mission to democratize the creator economy. 

At Later, you’ll work alongside experts who are redefining what’s possible in social commerce, tackling complex challenges from AI-powered content recommendations to systems that process billions of posts daily. While our standards are high and the work is demanding, we believe social media has unprecedented power to create economic opportunity for creators and businesses worldwide.

This isn’t just about building software – it’s about empowering millions of entrepreneurs, creators, and businesses to transform their digital presence into sustainable growth. We’re creating an accessible platform where anyone can thrive in the creator economy, from solopreneurs to global brands.

You’ll be challenged to think bigger and move faster than you ever have before. The problems we solve are complex, but for those who embrace the challenge, this will be the most meaningful work of your career. Our vision is ambitious: to empower 1 billion people to make a living through their creativity by putting powerful, intuitive tools in their hands.

If you believe in democratizing digital marketing, enabling authentic connections, and building technology that creates real economic opportunity, Later is where your expertise will make a difference. Let’s shape the future of social commerce together.

About this position:

As a Senior Data Engineer at Later, you will play a crucial role in building and optimizing our data warehouse, providing a tremendous opportunity to shape our data infrastructure and support our rapid growth. You will design, implement, and maintain robust data pipelines and architectures that facilitate efficient data processing and real-time analytics. Collaborating with engineers, data partners, and stakeholders, you will leverage cloud technologies in developing impactful data solutions that transform raw data into actionable insights.

What you’ll be doing:

• Data Warehouse Development: Design and build a robust data warehouse architecture.
• Data Pipeline Development: Design, build, and maintain scalable data pipelines for both batch and real-time processing, ensuring high availability and reliability.
• Transformation Layer: Develop reliable transformation layers and data pipelines from ambiguous business processes using tools like DBT.
• Data Architecture & Streaming: Establish optimized data architectures using cloud technologies, and implement both batch and streaming data processing systems.
• Data Quality & Governance: Enforce data quality checks and governance practices to maintain data integrity and compliance.
• Cross-Functional Collaboration: Work with data scientists, product managers, and business stakeholders to understand data needs and deliver actionable insights.
• Performance Optimization: Analyze and optimize data pipelines for performance and cost-effectiveness.

We are committed to building an inclusive, supportive place for you to do the best and most rewarding work of your career. If you identify with any of the following, we encourage you to apply

• Years of Experience: Minimum of 5 years in data engineering or related fields, with a strong focus on building data infrastructure and pipelines.
• Education: Bachelor’s degree in Computer Science, Engineering, or a related technical field; advanced degree preferred.

How you work: 

• You’re proactive and results-driven, always taking initiative, aligning your actions with company goals, and delivering consistent outcomes. 
• Strategic and forward-thinking, you balance immediate needs with long-term opportunities to drive impactful, innovative results.
• Your curiosity fuels success, keeping you sharp on industry trends, competition, and our cross-functional business dynamics. 
• Adaptable and resourceful, you handle shifting priorities with ease, manage your time effectively, and know when to ask for support.
• You share insights to help the team stay ahead and make informed decisions.
• You bring positivity and resilience to every challenge, tackling obstacles with grit and optimism that inspires those around you. 
• You lead with emotional intelligence, building trust, supporting others, encouraging growth, and fostering strong relationships through empathy and collaboration. 

Our approach to compensation:

We take a market-based & data-driven approach to compensation. We leverage data from trusted third-party compensation sources to help us understand the market value of a role based on function, level, geographic location, and scope. We evaluate compensation bi-annually, including performance and market-related factors.

Our salaries are benchmarked against market Total Cash Compensation for the geographic location of our job posting. Compensation for some roles is structured as On Target Earnings (OTE = base + commission/variable) while for others it is structured as Salary only.

To comply with local legislation and ensure transparency, we share salary ranges on all job postings. Skills, experience and other factors help determine the final salary we offer which may vary from the original range posted. 

Additionally, all permanent team members are eligible to participate in various benefits plans as part of their overall compensation package.

Salary Range: 160,000 – 190,000 USD

#LI-Hybrid

Where we work

We have offices in Boston, MA; Vancouver, BC; Chicago, IL; and Vancouver, WA. For select positions, we are open to hiring fully remote candidates. We post our positions in the location(s) where we are open to having the successful candidate be located. 

Diversity, inclusion, and accessibility

At Later, we are committed to fostering a culture rooted in an inclusion-first mindset at every level of the company, embracing the importance of hiring and building teams for culture add rather than culture fit. We openly build and maintain unbiased hiring, pay, and promotion practices to create a foundation for an equitable workplace, paving the way for systemic change.

We are committed to creating a diverse environment and are proud to be an equal opportunity employer. All applications will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, national origin, disability, or age. Please let us know if you require any accommodations or support during the recruitment process.

Medical Records Specialist

by Irma Moore | May 24, 2025 | Uncategorized

Thank you for considering a career at Ensemble Health Partners!

Ensemble Health Partners 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
• This position will pay between $15.00 – $16.05/hr based on experience

We are seeking a Medical Records/Health Information Management Specialist.

Job Responsibilities:

• Completes analysis/reanalysis of all records accurately and timely
• Completes accounts from Meditech System Waiting for Documentation and Missing Document work queues when missing documentation is received.
• Follow-up with ancillary/nursing departments for missing documentation as outlined.
• Follow-up with providers regarding missing documentation/dictation preventing the account from being coded.
• Completes unbilled spreadsheet with updates regarding the status of missing documentation and sends to management.
• Reviews medical record documentation in electronic medical records and, creates appropriate charting deficiencies in the deficiency management system, and assigns those deficiencies to the appropriate provider(s).
• Actively manages various analysis-specific work queues, electronic and manual, to ensure timely analysis and chart completion.
• Adheres to established company standards/policies and system workflow guidelines to add and re-assign accounts to appropriate work queues for processing.
• Identifies systematic problems and routes to the Manager for facility resolution.
• Promptly reports issues and trends not complying with facility or corporate policies/standards.
• Documents all workflows, including any alterations, modifications, and changes that will occur based on the processes that will be implemented or enhanced.
• Other duties as assigned

Experience We Love:

• Knowledge of CMS, and Joint Commission regulations preferred
• EMR experience preferred
• Healthcare Revenue Cycle experience preferred (Acute care facility HIM experience)

Certifications:

• CRCR Required within 9 months of hire (company paid)

#LI-BM1

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 Health Partners 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 Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.

Ensemble Health Partners 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.

Revenue Integrity Analyst

by Irma Moore | May 24, 2025 | Uncategorized

Thank you for considering a career at Ensemble Health Partners!

Ensemble Health Partners 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 $45,000 – $81,750 based on experience

​

The Revenue Integrity Analyst plays a pivotal role in ensuring financial health for acute and non-acute organization by meticulously managing the charge master, regulation code changes, work queues, charge capture, charge reconciliation, reporting, and analytical trending. This includes the identification of root cause and creation/maintenance of processes to ensure charge capture. In addition, this position is required to provide analytical insight regarding reports for charges that are not captured accurately or consistently. This position is responsible for uncovering root causes and developing a correct action plan. Recommends modifications to established practices and procedures or system functionality as needed to support Revenue Cycle and then manages implementation of those recommended changes.

Job Competencies:

Valuing Differences – Works effectively with individuals of diverse cultures, interpersonal styles, abilities, motivations, or backgrounds; seeks out and uses unique abilities, insights, and ideas. Considers the collective.

Collaboration – Works cooperatively within teams and partners with others, both internally and externally as needed, to achieve success; focuses on the results of the team, not the achievements of one person. It’s “All for One and One for All”

Accountability – Accepts personal responsibility and/or consequences of failure and successes, delivering on commitments and refocusing effort when needed. Someone who is willing to step up and own it.

Time Management – Effectively manages personal time and resources to ensure that work is completed efficiently.

Developing Trust – Gains others’ confidence by acting with integrity and following through on commitments; treats others and their ideas with respect and supports them in the face of challenges.

Takes Initiative – Takes prompt action to accomplish goals and achieve results beyond what is required; is proactive and pursues relentlessly.

Essential Job Functions:

Charge Master

• Evaluates current charging processes to diagnose the root cause of any charge inefficiencies and ensures standard charge practices are implemented.
• Analyzes changes to coding and billing rules and regulations and using independent decision making to ensure appropriate updates to CDM and charge processes are implemented.
• Prepare and present quarterly and annual CPT/HCPCS changes, annual pricing updates and provide client education material and presentation.
• Conduct thorough research to ensure the Charge Description Master (CDM) is maintained regularly.
• Leads efforts of collaboration with multi-disciplinary groups responsible for monitoring and assuring the accuracy and enhancement of hospital net revenue through management of the hospital charge master.

Operational Improvement

• Collaborates with stakeholders in revenue enhancement projects including Denial Management, APC Billing and/or other committees as needed.
• Provides leadership and expertise with various groups to develop new areas of review for future revenue enhancement and/or compliance initiatives.
• Conduct thorough analysis of billing errors and denial data to diagnose root causes. Utilizes independent decision making to execute work plans to correct identified deficiencies related to charge problems.  Responsible for problem solving and resolution of complex claim edits.
• Stay up-to-date with industry trends, emerging technologies, and regulatory changes affecting healthcare revenue cycle management and proactively share knowledge with the team.
• Perform Quality Assurance on team members, as needed.
• Trending and analysis of key data to identify areas for additional education.

Charge Capture

• Serves as subject matter expert (SME) of charge capture methodologies and helps investigate and solve charging issues and provide charge capture recommendations to clinical departments and hospital staff.
• Collaborate with client leadership to ensure charge trigger matrix is clearly documented and updated, as needed.
• Diagnoses root cause issues of charge problems and provides client education for best practice recommendations for improvement.
• Conduct root cause analysis on late charge reporting and provide client education for timely charge capture.
• Ensure effective monitoring and internal control processes in place to improve revenue capture.

Rounding with Clients

• Rounding on client revenue leaders on a quarterly basis to review questions concerning charge reconciliation, charge processes, CDM.
• Attend meetings to support system conversions, revenue cycle initiatives and foster good working relationships with key contacts.

Additional Job functions:

• Identify operational performance and revenue opportunities through detailed data review.
• Ensure effective monitoring and reporting control processes in place to improve performance.
• Evaluation of current processes and tools and propose changes in order to drive efficiencies within Revenue Cycle.
• Coordinate operational objectives by contributing information and recommendations to strategic plans and reviews; preparing and completing action plans.
• This position will be proactive in auditing and reconciling his/her own data findings, report results in order to maintain improve the quality and integrity data provided by the analyst.

Experience We Love:

• 3-5 years related experience required
• Excellent knowledge of Epic, Excel and SQL queries.
• Working knowledge of CPT & HCPCs coding guidelines.
• Excellent computer, proof reading, and written and verbal communication skills. Excellent interpersonal skills including the ability to communicate effectively with CHP internal and external customer base.
• Ability to work independently, proactively with limited supervision and also as a team player when called upon.
• Ability to work under pressure.
• Ability to maintain the security of confidential information.

Minimum Education:  

• Bachelor’s Degree or equivalent experience

Certifications:

• CRCR Required within 9 months of hire (company paid)

#LI-LS1

#LI-REMOTE

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 Health Partners 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 Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.

Ensemble Health Partners 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.