Job Description
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: The Director is responsible for day to day client operations and the planning, development, and implementation of policies, objectives and initiatives for acute or physician revenue cycle activities including outsourced vendors, clients and in-house functional areas of Patient Access (including but not limited to Patient Scheduling, Pre-Access/Registration, Registration Admissions, and Financial Counseling), Health Information Management (including but not limited to Site Medical Records management, Release of Information, Transcription), and Patient Financial Services (including but not limited to Billing, Charge Master/Revenue Integrity, Insurance Follow-Up, Customer Service, Cash Posting, Denials Management, Payment Variance, and Collections).respective Client Delivery. This position reviews and implements systematic approaches to maximize revenue and cash flow and to ensure results are consistently delivered. As the face of Ensemble, this person is responsible for forming and nurturing relationships with the client and meeting client performance expectations through influence and direction of client and Ensemble operations. This position is required to communicate organizational values and positive leadership to all associates within the organization. Job Competencies Leadership: Has a continuous and consistent virtual and onsite presence at the client assigned facilities and virtual presence with our internal Central Business Offices (CBOs) to provide support, review processes, provide feedback and identify areas of opportunity. Maintains knowledge of Revenue Cycle best practices ensuring high productivity and proficiency standards are met. Promotes a culture of collaboration between the CBO and facilities and serves as a positive role model for Revenue Cycle. Demonstrated ability to manage the day-to-day operations of multiple mid to large sized organizations providing a diverse and complex offering of services to the community. Ensures that appropriate documentation and education materials are used in all departments that you are responsible for and identifies any educational needs and communicates to the appropriate leader for development. Understands and stays abreast of payer requirements and changes in the industry and communicates those changes as well as the financial impact to local leadership. Represents Revenue Cycle on site-specific in person or virtual Finance and Operations meetings. Performance Monitoring/Improvement: Works collaboratively with departments to understand impact of facility operations and workflows on Revenue Cycle performance. Has a working knowledge of revenue cycle projects and performance metrics, how they relate to best practice and industry standard benchmarks and the operational changes necessary to ensure top tier performance. Monitors performance KPIs and routine reports including, but not limited to: Registration Accuracy, POS Collections, Denial Rate, Estimate Utilization, Elective Self-Pay, Timely Recurring Discharges, DNFB/CFB, High-Dollar In-house, Medical Necessity Issues, Recoupments, Charge Reconciliation and Accuracy, and Late Charges. Review and resolve accounts on hold or in DNFB/CFB status and work with appropriate leadership for Missing Documentation or Claim Edits. Participates in/Leads the Denial Avoidance Committee and ensures performance improvement plans are developed and implemented. Coaching & Building Talent - Achieves results through other leaders by empowering them and providing feedback, instruction, and development (coaching th