Senior Self Pay Operations 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

• The pay range is $20.45 -$21.85 per hour, depending on level of experience.

**This will be a Remote position.
 

The Senior Specialist of Self-Pay Operations is responsible for overseeing and optimizing the self-pay collections process, including managing bad debt inventory and placements, acute and PRC inventory, and statement holds and volumes. This role involves ensuring accurate billing, improving collection strategies, and providing detailed analysis and reports to leadership. The ideal candidate will have extensive experience in healthcare billing and collections, strong analytical skills, and a commitment to providing excellent quality for our clients.

Essential Job Functions:

• Manage Self-Pay Accounts: Oversee the self-pay accounts receivable process to ensure accounts are moving through the self-pay life cycle as designed.
• Bad Debt Management: Handle bad debt inventory management, placements, and returns. Reconcile bad debt transactions and manage vendor recall requests.
• Acute and PRC Inventory Management: Oversee the management of acute and PRC (Physician Revenue Cycle) inventory.
• Deceased Account Review: Conduct reviews of deceased accounts to ensure proper handling and resolution.
• Statement Holds Review: Review and resolve statement holds to ensure timely billing and collections.
• Reporting and Analysis: Prepare and analyze reports on self-pay aging performance, including ATB (Aged Trial Balance) review summaries for leadership and external teams. Identify opportunities that impact aging self-pay AR (Accounts Receivable).
• Compliance: Ensure all billing and collections activities comply with federal, state, and local regulations.
• Team Leadership: Provide guidance and support to the self-pay operations team, fostering a collaborative and productive work environment.
• Process Improvement: Identify and implement process improvements to enhance efficiency and effectiveness in self-pay operations.
• Technical Proficiency:  Microsoft Excel

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:

• Certified Revenue Cycle Representative (CRCR) required within 9 months of hire -Company Paid

Required Work Experience:

• 1 to 3 Years
• 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.

Preferred Knowledge, Skills and Abilities:

• 2 Y