Director, Pre-Access

Ensemble Health Partners

20h • Remote

About The Position

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! Our O.N.E Purpose includes Customer Obsession (consistently providing exceptional experiences), Embracing New Ideas (continuously innovating by embracing emerging technology and fostering creativity), and Striving for Excellence (executing at a high level and delivering outstanding results). The Director I, Pre-Access is responsible for leading a functional Pre-Access team across multiple markets. This role involves setting performance and effectiveness expectations in line with industry best practices and driving accountability through team production and quality measures. The director will establish, monitor, and meet key performance indicators for their functional area and partner with non-centralized areas performing pre-access functions to ensure education, training, and adherence to standardized processes. As a subject matter expert, the Director provides leadership and contributes to overall revenue cycle goals, meeting the mission and organizational goals of Ensemble Health Partners, and regulatory compliance requirements. The Director, Pre-Access will collaborate closely with other revenue cycle and facility leadership to understand upstream/downstream impacts of workflow and processes, taking a "big picture" approach to problem-solving and mitigating front-end denials. Some travel may be required.

Requirements

• Bachelor’s degree in Business or Healthcare Administration, or equivalent work experience
• 3 + years of leadership experience in a healthcare role
• 3+ years of revenue cycle operations or Pre-Access experience
• Demonstrated advanced usage of AI and the management of teams using AI to lean in to process and technological improvements, to include the exploration, experimentation, and application of AI.
• Work experience with Epic
• Experience building reporting and analytics to monitor performance and drive process improvement.
• Experience with ownership of daily workflow management, developing leaders, creating processes, and setting department strategy
• Financial and project management experience
• Able to work in a fast-paced, deadline-driven environment
• CRCR certification required within first 9 months of hire (Ensemble supported)

Nice To Haves

• Pre-access operations experience
• Call center experience

Responsibilities

• Establishes department strategy, direction, and breakdown of department assignments by leader.
• Leads pre-access managers who lead their functions across the pre-access teams, focusing on standardization, consistency, and best practices.
• Partners with other revenue cycle and facility leaders within their scope to ensure upstream/downstream impacts of workflow, and to establish positive relationships while fostering open two-way communication.
• Serves as the pre-access service line contact to our internal business partners (IP/OP/Surg).
• Coaches and develops department managers and assists in use of reporting and analytics to find trends, develop action plans, and implement process improvement.
• Leads managers through denial reviews to find gaps in workflow and processes and implements strategy to mitigate.
• Audits accounts and reviews denials to ensure effectiveness of workflow processes in place and collaborates with upstream/downstream impacts to improve process based on findings.
• Ensures adherence to the departmental budget and prepares monthly reports as requested.
• Communicates departmental goals to the staff to optimize performance and meet budgetary goals while improving operations to increase customer satisfaction and meet financial goals of the organization

Benefits

• Comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
• Investment in your professional development.
• Professional certification relevant to their field.
• Tuition reimbursement.
• Quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Number of Employees: 501-1,000 employees