Spec Billing

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 The Opportunity: Job duties include but are not limited to performing daily billing tasks: Works daily failed bill, failed claims on host system and failed claims within billing vendor. Works late charges, rebills, & any additional assigned reports. Updates to Excel reports capturing status of accounts billed/not billed. Pulls documents for audits updating tracking sheets of the audit status. Prints and mails hardcopy claims along with any additional documentation need with the claims. They will perform these duties while meeting the mission and goals of Mercy Health ministry, as well as meeting the regulatory compliance requirements. II. Job Competencies III. Essential Job Functions Reviews/Updates failed bills & claims on host system and within billing vendor. Works daily electronic 277's resolving claim issue's. 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. Contact patient and third parties for needed billing information. Performs rebill projects and additional daily reports. Assists with creation/up keep of training documents Performs other duties as assigned This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Associates may be required to perform other job related duties as required by their supervisor, subject to reasonable accommodation. IV. Employment Qualifications Legally Required License / Certification (Ex: MD, RN, LPN, etc.) ONE CERTIFICATION PER FIELD CRCR Ensemble Required License / Certification (Ex: CRCR) ONE CERTIFICATION PER FIELD Or other approved job relevant certification. Job Experience People Leadership Experience 1 to 3 Years Desired Education Education Level Preferred Area of Study High School Diploma, GED, or Equivalent Experience Other Preferred Knowledge, Skills and Abilities •2 Year / Associates Degree / High School Diploma or GED •Minimum Years and Type of Experience: 2 years of an accredited degree or equal experience in hospital billing. Internal candidate must have met 100% productivity and 95% quality assurance for the prior 3 months. Internal candidates must not have any disciplinary action within the 6-month period prior to application. •Other Knowledge, Skills and Abilities Required: •Must have billing experience on multiple payers or a SME for 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 complete billing level 1 test and external candidate must take the revenue cycle test. •Other Knowledge, Sills and Abilities Preferred: •Qualifications: •Additional Requirements: IV. Working Conditions Join an award-winning company Three-time winner of “Best in KLAS” 2020-2022 2022 Top Workplaces Healthcare Industry Award 2022 Top Workplaces USA Award 2022 Top Workplaces Culture Excellence Awards 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 TA@ensemblehp.com. EEOC – Know Your Rights FMLA Rights - English La FMLA Español Don’t fall victim to fake job recruiting from fraudsters posing as Ensemble Health Partners Human Resources personnel. Ensemble Health Partners will never ask for a payment in exchange for a job opportunity or ask you to submit sensitive personal information via email, phone, form, app or text. Legitimate Ensemble Health Partners recruiters will only contact you from an email address ending in “@ensemblehp.com.” Ensemble Health Partners is dedicated to providing our clients with experienced healthcare finance and revenue cycle professionals. We believe that our core values of trust, integrity, loyalty and service married with the belief that our work is worthwhile helps us build and sustain sincere relationships with our associates and clients. If you are a passionate, dedicated and experienced revenue cycle, consulting or finance professional and seek career and personal growth, we would love to hear from you. We believe we foster an environment where talented individuals can excel and shine. Our team believes that people are the most important part of our success and that when we take care of our people, they pay it forward by providing our clients with excellent results and world-class service.