Denials and Audit Specialist

Ensemble Health Partners

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.

The Opportunity:

The Denials/Audit Specialist performs all denial and audit activities across Ensemble Health Partners. Job duties include, but are not limited to:

  • Contacting insurance companies to determine reasons claims are unpaid
  • Correcting and resubmitting claims in a timely manner to ensure payment
  • Identifying trends in denied payments by insurance companies to remediate issues
  • Identifying changes with insurance company policies to ensure compliant billing
  • Communicating with other departments to resolve denial issues and submitting appeals in a timely manner
  • They will perform these duties while meeting the mission of Ensemble Health Partners, as well as meeting the regulatory compliance requirements
  • Performs other duties as assigned

Required Minimum Education:

  • High School Diploma or GED

Preferred Education:

  • 2 Year/ Associates Degree

Certification Required:

  • CRCR (Certified Revenue Cycle Representative) within 6 months of hire

Minimum Years and Type of Experience:

  • 2 years’ applicable experience strongly preferred

Other Knowledge, Skills and Abilities Required:

  • Must pass typing test of 35 words per minute (error adjusted)

Other Knowledge, Skills and Abilities Preferred:

  • Experience in physician and hospital operations, billing, AR follow-up, denials & appeals, compliance, and provider relations.

Join an award-winning company

Three-time winner of “Best in KLAS” 2020-2022

2022 Top Workplaces Healthcare Industry Award

2022 Top Workplaces USA Award

2022 Top Workplaces Culture Excellence Awards

  • 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:

  • Benefit packages – We offer a variety of medical plans, retirement options, and 401k options.
  • Wellness Programs – Are designed to help our associates enhance their health, including a comprehensive annual health risk assessment.
  • Our Culture – Ensemble’s Associate Engagement Committee facilitates fundraising, community outreach and DEI events throughout the year.
  • Growth – We invest in your professional development. Each associate receives 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.