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Ensemble Health Partners

Director, Credit Services

Posted 4 Days Ago
Be an Early Applicant
Remote
Hiring Remotely in United States
92K-139K Annually
Senior level
Remote
Hiring Remotely in United States
92K-139K Annually
Senior level
The Director of Credit Services manages revenue cycle activities, ensuring high productivity, improving performance metrics, leading teams, and promoting collaboration and innovation within healthcare finance operations.
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Thank you for considering a career at Ensemble Health Partners!

Ensemble Health Partners 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:

By embodying our core purpose of customer obsession, new ideas, and driving innovation, and delivering excellence, you will help ensure that every touchpoint is meaningful and contributes to our mission of redefining the possible in healthcare.

By embodying our core purpose of customer obsession, new ideas, and driving innovation, and delivering excellence, you will help ensure that every touchpoint is meaningful and contributes to our mission of redefining the possible in healthcare.

Directs the performance, in conjunction and counsel of the Revenue Cycle leadership, of the acute revenue cycle activities of outsourced vendors and in-house functional areas of Patient Access (including but not limited to Patient Scheduling, Pre-Access/Registration, Registration Admissions, and Financial Counseling), Health Information Management (including but not limited to Site Medical Records management, Release of Information, Transcription), and Patient Financial Services (including but not limited to Billing, Charge Master/Revenue Integrity, Insurance Follow-Up, Customer Service, Cash Posting, Denials Management, Payment Variance, and Collections).

Essential Job Functions

  • 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

  • Leadership: Has a continuous and consistent presence in both the assigned facilities and Revenue Cycle Services Center (RCSC) to provide support, review processes, provide feedback and identify areas of opportunity. Travel requirements will be: 10 business days per month in assigned facilities, 5 business days per month in the RCSC and the remaining business days to be determined by business needs. Maintains knowledge of Revenue Cycle best practices ensuring high productivity and proficiency standards are met. Promotes a culture of collaboration between the RCSC and facilities and serves as a positive role model for Revenue Cycle. Demonstrated ability to manage the day to day operations of multiple mid to large sized organizations providing a diverse and complex offering of services to the community. Ensures that appropriate documentation and education materials are used in all local Patient Access areas and identifies any educational needs and communicates to the appropriate leader for development. Understands and stays abreast of payer requirements and changes in the industry and communicates those changes as well as the financial impact to local leadership. Represents Revenue Cycle on site-specific Finance and Operations meetings.

  • Performance Monitoring/Improvement: Works collaboratively with the RCSC to understand impact of facility operations and workflows on Revenue Cycle performance. Has a working knowledge of RCSC projects and performance metrics, how they relate to best practice and industry standard benchmarks and the operational changes necessary to ensure top tier performance. Monitors performance KPIs and routine reports including, but not limited to: Registration Accuracy, POS Collections, Denial Rate, Estimate Utilization, Elective Self-Pay, Timely Recurring Discharges, DNFB/CFB, High-Dollar InHouse, Medical Necessity Issues, Recoupments, Charge Reconciliation and Accuracy, and Late Charges. Review and resolve accounts on hold or in DNFB/CFB status and work with appropriate leadership for Missing Documentation or Claim Edits. Serves as Chair of Denial Avoidance Committee and ensures performance improvement plans are developed and implemented. Communication: Hosts routine calls with facility and RCSC leadership and ensures open communication to discuss KPIs, denial trending, front end issues, missing documentation issues. Provides a monthly CFO KPI packet to include, but not limited to: Cash collections and variance to goal with detail explanation, A/R greater than 150 days with root causes, Denials trending by payor and root cause, Recoupments by payor and root cause, DNFB/CFB with any root causes. Provides updates to facility leadership on ongoing RCSC projects and their impact on performance metrics. Provides timely information to RCSC on operational changes, new business development, and service line expansion that will impact Revenue Cycle. Communicates in a way that promotes trust and credibility between the RCSC and facility leadership and strives to strengthen local and corporate relationships for positive outcomes. Completes weekly/monthly market narrative of activities, projects in flight, and issues. Escalates issues to direct leader as necessary to ensure timely resolution.

  • Innovation: Demonstrated ability to work independently to ensure Revenue Cycle operations are managed efficiently and effectively. Ensures that best practice Revenue Cycle processes are communicated and implemented where necessary. Coordinates with the facility CFO to discuss both strengths and opportunities for improvement to meet performance metrics. Makes suggestions for process improvements and develops project plans with target milestone dates.

This position pays $92,400- $138,600 based on years of relevant experience.

Join an award-winning company

Five-time winner of “Best in KLAS” 2020-2022, 2024-2025

Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024

22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024

Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024

Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023

Energage Top Workplaces USA 2022-2024

Fortune Media Best Workplaces in Healthcare 2024

Monster Top Workplace for Remote Work 2024

Great Place to Work certified 2023-2024

  • Innovation

  • Work-Life Flexibility

  • Leadership

  • Purpose + Values

Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:

  • Associate Benefits We offer a 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. 
  • Our Culture – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.  
  • Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement. 
  • Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company. 

Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws.  Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.

Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact [email protected].

This posting addresses state specific requirements to provide pay transparency.  Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position.  A candidate entry rate of pay does not typically fall at the minimum or maximum of the role’s range.

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