Billing Associate Specialist

Ensemble Health Partners•Cincinnati, OH

6d•$17 - $19•Onsite

About The Position

The Billing Associate Specialist performs a wide range of revenue cycle activities across multiple clients and systems, supporting both client-specific and enterprise-wide operations. The position requires cross-training across multiple clients and performing all duties in alignment with the mission, goals, and regulatory compliance standards of Ensemble Health Partners.

Requirements

High School Diploma/GED
1 to 3 Years Experience
CRCR Required within 6 months of hire
1-2 years’ experience hospital billing.
Insurance Follow-up experience
Home health care experience (Billing side)
Epic experience
Medicare, Medicaid, HMO and managed care experience
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.

Nice To Haves

Experience in hospital operations, compliance and provider relations preferred.

Responsibilities

Resolving multidisciplinary claim edits—including registration, coding, revenue integrity, and billing—to ensure accurate and timely claim submission.
Works daily electronic 277s, RTPs, failed bills, late charges, rebills, and failed claims within host systems and billing vendors, while also processing hardcopy claims and attaching required documentation such as EOBs and medical records.
Collaborate closely with Billing and Denials Management to identify trends, recommend new claim rules and edits, and support compliant billing practices, in addition to monitoring electronic claim transfers and helping manage unbilled accounts across all systems.
Contacting patients, insurers, and third parties for missing insurance or billing information; preparing documents for audits; updating tracking and Excel reports; and creating SOPs, policies, flowcharts, and training materials to support staff development.
Assists with new client implementations by preparing unbilled reports and playbooks, participating in unbilled meetings, and helping drive performance improvements related to DNFB, DNFS, and key billing metrics.
May float to cover absentee staffing needs and are expected to remain current on state and federal coding, billing, and revenue integrity changes, ensuring compliance for assigned clients and communicating updates to the team.
Performs other duties as assigned