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Ensemble Health Partners · 2 weeks ago

Revenue Recovery Technology Specialist

United States

Full-time

Remote

Senior Level

5+ years exp

Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems. The Revenue Recovery Technology Specialist will assist with updates to Ensemble Revenue Recovery technology and provide education to client teams regarding underpaid claims.

Health CareHospitality

Responsibilities

Assist with the producing, validation and updates to all Ensemble Revenue Recovery technology

Provide up-to-date, thorough, and relevant education to all Revenue Recovery client teams with relation to updates made within Ensemble IQ (EIQ)

Create Educational Spotlights (with both PowerPoint and Word documents available after, as well as a recorded version of the training) on up-to-date opportunities for the identification of and collection of underpaid claims

Serve as a technology subject matter expert within the Revenue Recovery Service line

Ensure validity of all reporting data and reach out to leadership for answers when needed

Maintain the Microsoft Teams site environment which houses all technology documents

Build out all new client rules, update existing rules, and track hit rate opportunities

Research, build, upload and test prediction rules within EIQ for all new and existing clients

Assist in the identification of new underpayment opportunities

Regularly review the prediction rules to determine if new and/or updated rules are needed and build them into all client packages accordingly

Analyze variances and trends to identify problems and/or trends with an understanding of all Revenue Cycle aspects including but not limited to Billing, Coding, Revenue Integrity, Denials, etc

Evaluate current processes and tools and propose changes in order to drive efficiencies within the organization

Ensure effective monitoring and reporting controls are in place to improve performance

Coordinate operational objectives by contributing information and recommendations to strategic plans and reviews, preparing and completing action plans

Ensure that all projects are completed on-time, within scope and all barriers are communicated to the appropriate parties

Qualification

CRCR certificationRevenue Cycle ManagementProficiency with SQLProficiency with MS AccessProficiency with ExcelBusiness ObjectsTraining tacticsProblem analysisProcess evaluationOperational coordinationCommunication

Required

Must have excellent written and spoken communication abilities

Must demonstrate active, engaging, training tactics that engage audiences, especially virtually

Serve as subject matter expert on the ROAR service lines, what they do, and how they support each other

Engage with all the client teams as a non-competitive, useful resource

Analyzes variances and trends to identify problems and/or trends with an understanding of all Revenue Cycle aspects including but not limited to Billing, Coding, Revenue Integrity, Denials, etc

Evaluation of current processes and tools and propose changes in order to drive efficiencies within the organization

Ensure effective monitoring and reporting controls are in place to improve performance

Coordinate operational objectives by contributing information and recommendations to strategic plans and reviews, preparing and completing action plans

Ensure that all projects are completed on-time, within scope and all barriers are communicated to the appropriate parties

CRCR Or other approved job relevant certification

5 to 7 Years of People Leadership Experience