Ensemble Health Partners · 4 days ago
Senior Denials Prevention Process Improvement Advisor
United States
Full-time
Remote
Senior Level
$69K/yr - $104K/yrEnsemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems. The Senior Denials Prevention Process Improvement Advisor leads analysis on clinical and technical denials, applying problem-solving skills to improve processes and guide client relationships in addressing denial trends.
HealthcareHospitalityHealth Care
Responsibilities
Provides relevant guidance and works to resolve issues escalated by Revenue Cycle Site Directors, and other participants related to denial prevention
Leads monthly Denial Prevention onsite week kick-off and close-out meetings with assigned client leadership, covering necessary information relative to identified trends, progress from prior actions, and next steps
Establishing strong relationships with appropriate stakeholders/committee members, including Finance Leadership, Revenue Cycle, Managed Care, and hospital ancillary department heads
Oversees documentation and trends prevention-related findings into defined templates, initiating or creating reports or summaries as needed
Leads reviews using all patient accounting, host, Epic and related systems used across their client to verify and summarize trends concisely and actionably
Aggregates and provides strategic advisory perspective related to process improvement and quality in assessment of the root cause issues creating denials by working with the subject-matter experts and applicable owners to make recommendations to remedy process, system, and education issues
Creates materials and trains denial prevention staff, revenue cycle site directors, committee members, and revenue cycle staff as necessary on denials-related trends and issues impacting their client
Performs other duties as assigned
Qualification
Required
4 year/ Bachelors Degree
Healthcare administration, Business or related discipline
Project Work, Intermediate Excel & Access Skills
Project Management, Data Analytics
Demonstrated advanced usage of AI and the management of teams using AI to lean into process and technological improvements, to include the exploration, experimentation, and application of AI
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
Preferred
Graduate Degree (Masters)
Certified Specialist Managed Care (CSMC); LEAN Six Sigma Black Belt
Certified Revenue Cycle Representative: (CRCR)
Benefits
Bonus Incentives
Paid Certifications
Tuition Reimbursement
Comprehensive Benefits
Career Advancement
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.
Innovation
Work-Life Flexibility
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.
Company
Ensemble Health Partners
Ensemble Health Partners is the leading revenue cycle management company for hospitals, health systems and physician practices.
Founded in 2014
10001+ employees
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Thoreau AIBerkshire Partners,Warburg Pincus
2026-06-17Private Equity
2022-03-25Private Equity
2019-05-30Acquired
Leadership Team
Judson Ivy
Founder and CEO
Matt Tormey
EVP Compliance and Risk
Recent News
Modern Healthcare
2026-06-20
2026-06-18
Company data provided by crunchbase