[Hiring] Billing Integrity Specialist @Ensemble Health Partners

Role Description

The Specialist of Billing Integrity II performs multiple revenue cycle systems activities by blended client assignment and/or enterprise wide.

• Resolving multi-disciplinary edits (i.e. registration, coding, revenue integrity, billing, etc.)
• Collaborates with Billing and Denials Management department to identify trend analysis of multidisciplinary errors by identifying new claims rules/edit needs to facilitate accurate billing.
• Works daily electronic 277's and or RTPs resolving claim issues.
• Contact patients, insurance, any third party for insurance information or any additional billing data when needed.
• Floats to work absentee staffing desks.
• Assist with the creation of SOP's, Policies and flow charts as needed.
• Assist with new client implementations by preparing the clients unbilled reports and unbilled meetings, completion of Best Practice Tracker and playbooks.
• Create training documents then trains and tests staff.
• Remain familiar with all coding, revenue integrity and billing changes on state and federal levels for assigned clients, while ensuring team members are also made aware of changes.
• Responsible for being cross-trained in multiple clients.

Qualifications

• 3 to 5 years experience in healthcare industry/revenue cycle functions.
• End to end revenue cycle knowledge or background.
• Experience on multiple payers regulations or a SME for one payer.
• Must demonstrate basic computer knowledge.
• Must pass typing test of 35 words per minute (error adjusted).
• 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.

Requirements

• CPCH, CPCO, CPC, CRCR required license.
• 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.

Benefits

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement
• The starting pay for this position is $18.65 to $20.50 /hr, final compensation will be based on experience.