Senior Physician Billing Specialist

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

5d•$19 - $21•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.

Requirements

Must also be CPB Certified.
Must have billing experience on multiple payers or a SME on one payer.
Must demonstrate basic computer knowledge and demonstrate proficiency in Microsoft Excel.
Must pass typing test of 35 words per minute (error adjusted).
Must be able to provide a mock training session for the interviewer (s).
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.
Due to business, operational, payroll, and regulatory requirements, this position is limited to individuals who reside and are authorized to work within the United States. Applications generated from outside the United States will not be considered. Individuals may reapply when located within the United States.

Nice To Haves

Internal candidates must have achieved 100% productivity and 95 % quality assurance for the prior 3-month period.

Responsibilities

Reviews/Updates failed bills & claims on host system and within billing vendor.
Works daily electronic submissions (or 277's) resolving claim issues.
Monitors daily claims errors and resolutions providing recommendations on systems fix's going forward.
Works daily late charges & rebills.
Bills hardcopy claims attaching any needed documentation for payment.
Pulls EOB's and Medical Records as needed attaching to claims and mailing.
Contact patients, insurance, any third party for insurance information or any additional billing data.
Creates training documents/tests. Train educate staff, providing testing.
Work absentee staffing desk's