Senior Denials Prevention Process Improvement Advisor

Ensemble Health Partners

. Serve as a subject matter expert and strategic partner in reducing clinical and technical denials across the revenue cycle .

Posted 10/21/2026full-timeOhio • United StatesSenior💰 $68,500 - $103,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in revenue cycle operations and payer policies, utilizing advanced analytical skills to identify denial trends and implement preventive strategies. Collaborates effectively with cross-functional teams to enhance financial performance and client satisfaction while ensuring compliance with regulatory requirements.

Highest-signal resume keywords

Advanced Analytical SkillsRevenue Cycle OperationsPayer Policies KnowledgeDenial Rate ReductionRegulatory Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data-Driven AssessmentsDenial Trend IdentificationPreventive Strategy DesignKPI MonitoringWorkflow Optimization

Soft Skills

Inquisitive MindsetOpen to InnovationStakeholder InfluenceCollaboration

Certifications & Qualifications

Associate Degree

Industry Keywords

Clinical DenialsTechnical DenialsCross-Functional WorkshopsFirst-Pass YieldAppeal Avoidance

About the role

Key responsibilities & impact

Serve as a subject matter expert and strategic partner in reducing clinical and technical denials across the revenue cycle
Conduct data-driven assessments of denial drivers
Develop and deploy best practices
Facilitate cross-functional workshops
Monitor implemented solutions using KPIs such as denial rate reduction and appeal avoidance
Identify denial trends
Collaborate with operational leaders and payer relations teams
Design preventive strategies to improve first-pass yield and reduce rework
Partner with IT and compliance teams to optimize workflows
Ensure adherence to regulatory and contractual requirements
Influence stakeholders to achieve measurable improvements in financial performance and client satisfaction

Requirements

What you’ll need

Associate degree
2 to 5 years of relevant experience
Advanced analytical skills
Deep knowledge of payer policies and revenue cycle operations
Must be inquisitive and open to innovation, including AI
Must reside and be authorized to work within the United States
Willingness and ability to travel to and work onsite at client, temporary, or corporate office locations as business needs require

Benefits

Comp & perks

Bonus Incentives
Paid Certifications
Tuition Reimbursement
Comprehensive benefits package including healthcare, time off, retirement, and well-being programs
Professional development opportunities
Quarterly and annual incentive programs
Career advancement opportunities
Work-life flexibility