Enrollment Specialist

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! 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 EDI – EFT & ERA Enrollment of Cash Application performs all enrollment activities across Ensemble Health Partners which includes hospital and physician locations. The EDI – EFT & ERA Enrollment Specialist is responsible for the timely and accurate enrollment processing within multiple Clearinghouses for both client and payer for the EDI related file processing. Job duties include, but are not limited to, submitting enrollment applications through the clearinghouses, utilizing payer portals for EDI related maintenance, working with other departments within Ensemble to keep up-to-date client W9’s & Bank letters, connection set up between the client and their clearinghouse, verifying all files are being transferred correctly and available for electronic processing by the Ensemble cash teams.

Requirements

3-5 years of Healthcare Cash Posting, Medical Office, Insurance, or Billing back-ground preferred
Previous EFT – (Electronic Funds Transfer), ERA – (Electronic Remittance Advice)/835, EDI – (Electronic Data Interchange) experience is required.
Must have advanced knowledge and experience with Excel (possessing the ability to use spreadsheets, graphing, tables, calculations, and automation efficiently to process large quantities of data relevant to business tasks).
Revenue Cycle
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.

Nice To Haves

Associates degree or equivalent experience preferred but not required

Responsibilities

Responsible for driving the Ensemble culture through values and customer service standards.
Accountable for outstanding customer service to all external and internal contacts.
Develops and maintains positive relationships through effective and timely communication.
Takes initiative and action to respond, resolve and follow up regarding issues with all customers in a timely manner
Maintain multiple payer portals for each client to ensure timely enrollment of EFT’s (Electronic Funds Transfers) to the validated client bank account
Maintain multiple payer site set ups for each client to ensure timely enrollment for ERA delivery to correct client clearinghouse
Accuracy of information when completing all submitted enrollment forms that contain client banking data
Utilizing & maintaining multiple client EFT & ERA set ups for multiple payer websites
Work from multiple client clearinghouses
Maintain Administrative access to client related information according to Ensemble’s Compliance standards as well as federal guidelines
Enrollment submission follow up
Meeting Productivity and Quality