Ensemble Health Partners

General

• Interview uninsured and under-insured patients to determine eligibility for state Medicaid benefits or local financial assistance programs
• Assist with application processes to facilitate accurate and appropriate submissions
• Follow up on submitted applications to ensure timely billing or adjustment processing
• Review referred patients for program eligibility opportunities and coordinate application processes
• Communicate with patients to obtain required supporting documents
• Follow applications through determination, update applicable insurance information, and ensure timely billing or adjustment posting
• Document relevant actions and communications in patient accounting systems
• Maintain knowledge of state and federal program requirements and share information with colleagues and supervisors
• Develop and maintain working relationships with county, state, and federal Medicaid caseworker partners
• Collaborate with revenue cycle departments and associates
• Perform other duties as assigned

Public Benefit Specialist

Health Information Specialist

• Complete analysis/reanalysis of all records accurately and timely
• Complete accounts from EMR Waiting for Documentation and Missing Document work queues when documentation is received
• Follow up with ancillary and nursing departments for missing documentation
• Follow up with providers regarding missing documentation or dictation preventing account coding
• Complete unbilled spreadsheet updates regarding missing documentation and send to management
• Review electronic medical record documentation and create charting deficiencies in the deficiency management system
• Assign deficiencies to appropriate providers
• Manage analysis-specific electronic and manual work queues to ensure timely analysis and chart completion
• Add and re-assign accounts to appropriate work queues according to company standards, policies, and workflow guidelines
• Identify systematic problems and route them to the Manager for facility resolution
• Report issues and trends that do not comply with facility or corporate policies and standards
• Document workflows, including alterations, modifications, and process changes
• Perform other duties as assigned

Health Information Management Specialist

Patient Access Specialist

• Perform admitting duties for all patients admitted for hospital services
• Assign accurate MRNs and complete medical necessity/compliance checks
• Provide patient instructions and collect insurance information
• Receive and process physician orders
• Operate the telephone switchboard and relay incoming, outgoing, and inter-office calls
• Conduct account audits and provide statistical data to Patient Access leadership
• Pre-register patient accounts and obtain demographic, insurance, and financial information
• Collect point-of-service payments, past-due balances, and arrange payment plans
• Explain consent, patient education, Medicare, Tricare, observation, and other required forms
• Review insurance eligibility and enter benefit data to support collections and clean claims
• Screen Medicare medical necessity using ABN software and document required forms

Financial Planning and Analysis

• Guide patients throughout their financial journey from admission through post-discharge
• Review benefits and estimate out-of-pocket costs
• Facilitate payment arrangements and ensure compliance with organizational and regulatory requirements
• Screen for Medicaid and financial assistance eligibility
• Calculate patient liability estimates and collect point-of-service payments
• Address billing and coverage inquiries and maintain accurate account documentation
• Provide education and problem resolution to improve patient experience and financial performance
• Monitor trends, prepare operational reports, and support process improvement initiatives
• Meet productivity and department KPIs
• Triage patient financial questions and ensure resolution while patients are in-house
• Connect face-to-face with patients throughout their care journey
• Escalate identified financial process gaps
• Communicate and collaborate with case management, social workers, physician liaisons, and other personnel
• Perform other duties as assigned

Senior Financial Navigating Specialist

Analyst

• Establish and execute a vision for information and analytics delivery to key stakeholders
• Support acute back-end operations through coordinator work, KPI scorecards, executive status reporting, cash performance metrics, TIPS reporting, project coordination, and performance monitoring
• Lead and attend stakeholder meetings to drive outcomes
• Coordinate Acute Back End Operations Working on the Business items and ensure timely, accurate delivery
• Compile and analyze Acute Backend scorecards for leadership review
• Create executive summaries and net-new operational performance reports
• Provide TIPS reporting, review, and analysis to leadership
• Support operational leadership with centralized reporting needs and projects
• Coordinate ad hoc requests from operations and executive leaders
• Track SLAs, performance, communications, operating reviews, financial metrics, KPIs, and operational opportunities
• Analyze financial and business performance against key metrics and identify cost-saving opportunities
• Establish monitoring and reporting controls and recommend process and tool improvements
• Develop and manage project plans, scope, schedules, resources, risks, documentation, and stakeholder communications
• Prepare proformas for service-line and staffing-structure changes
• Anticipate executive leadership needs through data gathering, reporting, document preparation, and ad hoc support
• Research data nuances, identify patterns, quantify impacts, verify data accuracy, and propose solutions
• Analyze variances and trends to identify problems

Senior Revenue Cycle Analyst

Director

• Partner with physician practice leaders to improve revenue cycle and operational performance
• Identify workflow gaps, operational barriers, and performance improvement opportunities
• Drive improvements in patient access, denials, collections, and other key front-end metrics
• Lead onsite coaching, training, and change management initiatives
• Standardize best practices across practices and support operational transformation efforts
• Collaborate with clinical, revenue cycle, technology, and client leadership teams to achieve performance goals
• Travel up to 75% within the assigned Central Virginia region
• Work in a field role between clients

Director, Regional Practice

• Provide technical services as an Analyst II
• Support Ensemble’s technology-enabled revenue cycle management solutions for health systems, hospitals, and affiliated physician groups

Analyst II, Technical Services

• Perform in-depth analysis of claims, payments, and account reconciliations
• Ensure accuracy and compliance across the revenue cycle
• Identify trends in underpayments, denials, and revenue leakage
• Evaluate root causes and recommend corrective actions to improve financial performance
• Review and validate claim and payment data
• Interpret contract reimbursement terms
• Prepare detailed reports
• Work assigned underpayment projects
• Collaborate with cross-functional teams
• Escalate complex issues
• Support continuous improvement initiatives to optimize processes and reduce cycle times

Revenue Cycle Analyst

• Perform admitting duties for all patients receiving services at Ensemble Health Partners
• Assign accurate MRNs
• Complete medical necessity or compliance checks
• Provide proper patient instructions
• Collect insurance information
• Receive and process physician orders using an overlay tool
• Provide excellent customer service
• Operate the telephone switchboard
• Use quality auditing and reporting systems to ensure accounts are corrected
• Develop training materials and programs for new hires
• Provide continuing education to associates in revenue cycle areas
• Develop staff schedules within the patient access department
• Provide on-call, after-hours support and guidance
• Work unscheduled times to cover staffing issues as needed
• Collect point-of-service payments in emergency, outpatient, and inpatient settings
• Conduct account audits and provide statistical data to Patient Access Leadership
• Explain and obtain signatures for consent and patient forms
• Explain and distribute patient education documents
• Review insurance eligibility responses and select applicable insurance plan codes
• Enter benefit data to support point-of-service collections and billing processes
• Pre-register patient accounts and make inbound and outbound calls to obtain patient information
• Screen medical necessity using ABN software and distribute/document designated forms

Senior Patient Access Specialist

• Perform admitting duties for patients admitted for hospital services
• Assign accurate MRNs
• Complete medical necessity and compliance checks
• Provide patient instructions
• Collect insurance information and process physician orders
• Use overlay tools while providing excellent customer service
• Operate the telephone switchboard and relay incoming, outgoing, and inter-office calls
• Meet assigned point-of-service goals
• Use quality auditing and reporting systems to correct accounts
• Conduct account audits and provide statistical data to Patient Access leadership
• Pre-register patient accounts before visits
• Make inbound and outbound calls to obtain demographic, insurance, and patient information
• Collect point-of-service payments and past-due balances, including payment-plan options
• Explain and obtain signatures for consent forms
• Distribute patient education and regulatory forms
• Review insurance eligibility responses and select applicable insurance plan codes
• Enter benefit data to support point-of-service collections and billing processes
• Screen medical necessity using ABN software and distribute and document required forms

Patient Access Specialist – Part-Time

• Perform admitting duties for all patients admitted for hospital services
• Assign accurate MRNs
• Complete medical necessity and compliance checks
• Provide patient instructions and collect insurance information
• Receive and process physician orders
• Utilize an overlay tool while providing customer service
• Operate the telephone switchboard for incoming, outgoing, and inter-office calls
• Meet assigned point-of-service goals
• Use quality auditing and reporting systems to correct accounts
• Conduct account audits and provide statistical data to Patient Access leadership
• Pre-register patient accounts before visits
• Make inbound and outbound calls to obtain demographic, insurance, and patient financial information
• Collect point-of-service collections and past-due balances, including offering payment plan options
• Explain consent and patient education forms, obtain signatures, and witness names
• Review insurance eligibility responses and select applicable insurance plan codes
• Enter benefit data to support point-of-service collections and billing processes
• Screen medical necessity using ABN software and distribute required forms and pamphlets

Business Analyst

• Develop and execute the long-term strategy for Enterprise Resiliency
• Design, implement, and mature business resiliency programs, frameworks, governance processes, and operating models
• Improve resiliency, risk, and control programs through artificial intelligence, automation, analytics, and emerging technologies
• Embed resilience, preparedness, dependency management, and recovery considerations into strategic planning and operations
• Define and execute the vision, framework, governance model, and operating strategy for Enterprise Risk Management
• Advance risk methodologies, taxonomies, analytics, reporting, and governance processes
• Support enterprise risk assessments and translate risk intelligence into actionable recommendations
• Develop risk metrics, key risk indicators, dashboards, scenario analyses, and executive communications
• Establish and mature the enterprise control architecture strategy
• Design and govern the enterprise controls framework, including taxonomy, standards, ownership, evidence, lifecycle management, and cross-framework mappings
• Analyze relationships among risks, controls, findings, obligations, and assurance activities
• Improve control visibility, reporting, monitoring, and effectiveness through analytics, automation, and AI
• Partner with leaders across Operations, Internal Audit, Finance, Cybersecurity, IT, Compliance, Privacy, Legal, and other functions
• Translate audit findings, risk assessments, continuity exercises, recovery planning, compliance obligations, and control requirements into improvement strategies
• Advise leaders, risk owners, and process owners on risk management, resiliency, control design, governance, and evidence expectations

Lead Analyst, Business Resiliency

Engineering Manager

• Lead engineering ownership and operational support of IAM platforms, including SailPoint/IGA, directory services, cloud identity, access request workflows, lifecycle automation, and related identity technologies
• Develop and execute the IAM engineering roadmap aligned to security, automation, client onboarding, compliance, and operational efficiency goals
• Oversee design, configuration, testing, deployment, support, and continuous improvement of identity profiles, lifecycle states, roles, access profiles, entitlements, connectors, workflows, transforms, provisioning logic, and reporting
• Establish and maintain technical standards, runbooks, SOPs, configuration documentation, support playbooks, and operational readiness practices
• Lead engineering standards for joiner, mover, leaver, transfer, rehire, leave, contractor, and termination workflows
• Partner with HR/HCM, ServiceNow, directory, cloud, application, client-facing, Implementation, Client Success, Operations, Application Owners, GRC, Internal Audit, Cybersecurity, and client stakeholders
• Drive automation opportunities that reduce manual work, improve SLA performance, strengthen controls, and create measurable time and cost savings
• Advance role-based access control, standard entitlement models, identity governance maturity, and reusable patterns
• Maintain an automation and technical debt backlog with owners, business value, risk impact, and target delivery milestones
• Define and track client provisioning requirements, entitlement files, role mappings, access dependencies, test users, escalation contacts, and go-live readiness criteria
• Support readiness checkpoints and post-go-live stabilization activities
• Identify client-specific process variation and lead standardization opportunities
• Escalate readiness risks with clear business impact, ownership, resolution path, and decision requirements
• Support access reviews, audit evidence, entitlement reconciliation, control testing, and compliance reporting
• Promote separation of duties, least privilege, standard access patterns, and access certification readiness
• Maintain policies, SOPs, RACI models, readiness checklists, operational evidence packages, and exception approvals
• Identify provisioning workflow risks and recommend remediation plans
• Lead, coach, and develop the IAM engineering and client provisioning team
• Set team goals, expectations, KPIs, development plans, and accountability rhythms
• Provide leadership-ready updates on performance, risks, accomplishments, staffing needs, automation wins, and strategic priorities
• Build cross-functional partnerships to enable scalable client onboarding and identity operations

IAM Manager – Engineering

• Interview uninsured and under-insured patients to determine eligibility for state Medicaid benefits or location financial assistance programs
• Assist with application processes to facilitate accurate and appropriate submissions
• Follow up on submitted applications through determination to ensure timely billing or adjustment processing
• Review referred patients for program eligibility opportunities and coordinate application processes
• Communicate with patients to obtain documents required for applications
• Update applicable insurance information and ensure timely billing or adjustment posting
• Document relevant actions and communications in assigned patient accounting systems
• Maintain working knowledge of state and federal program requirements and share information with colleagues and supervisors
• Develop and maintain working relationships with county, state, and federal Medicaid caseworker partners
• Collaborate with revenue cycle departments and associates
• Perform other duties as assigned

• Manage patient registration and access processes within the healthcare revenue cycle
• Assign accurate MRNs and complete medical necessity and compliance checks
• Provide patient instructions and collect insurance information
• Receive and process physician orders and utilize an overlay tool
• Provide customer service to patients onsite
• Operate the telephone switchboard
• Meet assigned point-of-service goals
• Use quality auditing and reporting systems to correct accounts
• Conduct account audits and provide statistical data to Patient Access leadership
• Pre-register patient accounts before visits
• Make inbound and outbound calls to obtain demographic, insurance, and financial information
• Collect point-of-service collections and past-due balances, including payment plan options
• Explain and obtain signatures for consent and patient education forms
• Review insurance eligibility responses and select applicable insurance plan codes
• Enter benefit data to support point-of-service collections and billing
• Screen medical necessity using ABN software and distribute and document required forms

Public Benefit Specialist

Health Information Management Specialist

Patient Access Specialist

Senior Financial Navigating Specialist

Senior Revenue Cycle Analyst

Director, Regional Practice

Analyst II, Technical Services

Revenue Cycle Analyst

Senior Patient Access Specialist

Patient Access Specialist – Part-Time

Patient Access Specialist

Lead Analyst, Business Resiliency

IAM Manager – Engineering

Public Benefit Specialist

Patient Access Associate Specialist