Senior Physician Billing 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:

CAREER OPPORTUNITY OFFERING: 

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement
• This position pays between $18.65 - $20.50/hr based on experience

The Senior Billing Specialist will work daily failed bills/claims on all systems including late charges, rebills and any additional billing reports.

Essential Job Functions:

• Reviews/Updates failed bills & claims on host system and within billing vendor.

• Works daily electronic submissions (or 277's) resolving claim issues.

• Monitors daily claims errors and resolutions providing recommendations on systems fix's going forward.

• Works daily late charges & rebills.

• Bills hardcopy claims attaching any needed documentation for payment.

• Pulls EOB's and Medical Records as needed attaching to claims and mailing

• Contact patients, insurance, any third party for insurance information or any additional billing data.

• Creates training documents/tests. Train educate staff, providing testing.

• Work absentee staffing desk's

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.

Desired Work Experience:

1 to 3 Years

Desired Education:

High School Diploma, GED, or Equivalent Experience

Preferred Knowledge, Skills and Abilities:

• 2 years of an accredited degree or equal experience.
• Must also be CPB Certified. Internal candidates must have achieved 100% productivity and 95 % quality assurance for the prior 3-month period.
• Must have billing experience on multiple payers or a SME on one payer.
• Must demonstrate basic computer knowledge and demonstrate proficiency in Microsoft Excel. Must pass typing test of 35 words per minute (error adjusted).
• Must be able to provide a mock training session for the interviewer (s).

• 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