Denials Prevention Revenue Cycle Analyst

Ensemble Health Partners•Work at Home - Ohio - Other, OH

2d•$62,500 - $79,800•Hybrid

About The Position

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 $62,500.00 - $79,800.00/ based on experience The Revenue Cycle Analyst is responsible for performing in-depth analysis of claims, payments, and account reconciliations to ensure accuracy and compliance across the revenue cycle. This role identifies trends in underpayments, denials, and revenue leakage, evaluates root causes, and recommends corrective actions to improve financial performance. Key responsibilities include reviewing and validating claim and payment data, interpreting contract reimbursement terms, preparing detailed reports, and working assigned underpayment projects. The analyst collaborates with cross-functional teams, escalates complex issues, and supports continuous improvement initiatives to optimize processes and reduce cycle times. Success in this role requires strong analytical capabilities, attention to detail, and the ability to communicate findings effectively to stakeholders while driving operational excellence within the revenue cycle.

Requirements

1 to 3 Years experience
Demonstrated advanced usage of AI and the management of teams using AI to lean into process and technological improvements, to include the exploration, experimentation, and application of AI.

Responsibilities

Provides service level revenue cycle operations reporting and analysis within revenue cycle services.
Escalates issues and concerns with leadership to identify and resolve service level issues.
Analyze and understand historical data and staffing to forecast future requirements.
Supports the review, recommendation and implementation of metrics and reporting for Revenue Cycle Services.
Assists in strategic planning and performs ongoing process improvement evaluation.
Provides exceptional service to internal and external stakeholders.
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.