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! O.N.E Purpose: - Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. - Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. - Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results. The Opportunity: ENTRY LEVEL CAREER OPPORTUNITY OFFERING: - Bonus Incentives - Paid Certifications - Tuition Reimbursement - Comprehensive Benefits - Career Advancement - This position pays between $16.50 - $18.65/hr based on experience Accounts Receivable Specialist is responsible for following up directly with commercial, governmental, and other payers to resolve claim payment issues, to secure appropriate and timely reimbursement and response. Identifies and analyzes denials, payment variances, and no response claims and acts to resolve claims/accounts, including drafting and submitting technical and clinical appeals. Provides support for all denial, no response, and audit activities. Essential Job duties: - Examines denied and other non-paid claims to determine the reason for discrepancies. - Communicates directly with payers to follow up on outstanding claims, files technical and clinical appeals, resolves payment variances, and ensures timely and accurate reimbursement. - Ability to identify specific reasons for underpayments, denials, and cause of payment delay. Works with management to identify, trend, and address root causes of issues in the A/R. - Maintains a thorough understanding of federal and state regulations, as well as payer specific requirements and takes appropriate action accordingly. - Documents all activity accurately including contact names, addresses, phone numbers, and other pertinent information in the client’s host system and/or appropriate tracking system. - Demonstrates initiative and resourcefulness by making recommendations and communicating trends and issues to management. - Needs to be a strong problem solver and critical thinker to resolve accounts. Expected Knowledge, Skills and Abilities: - Must demonstrate basic computer knowledge and demonstrate proficiency in Microsoft Excel. - Excellent Verbal skills. - Problem solving skills, the ability to look at accounts and determine a plan of action for collection. - Critical thinking skills, the ability to comprehend tools provided for securing payment, and apply them to differing accounts to result in payment. - Adaptability to changing procedures and growing environment. - Meet quality and productivity standards within timelines set forth in policies. - Meet required attendance policies. Preferred Knowledge, Skills, and Abilities: - 2 or 4-year college degree. - 1 or more years of relevant experience in medical collections, physician/hospital operations, AR Follow-up, denials & appeals, compliance, provider relations or professional billing preferred. - Knowledge of claims review and analysis. - Working knowledge of revenue cycle. - Experience working the DDE Medicare system and using payer websites to investigate claim statuses. - Working knowledge of medical terminology and/or insurance claim terminology. Join an award-winning company Five-time winner of “Best in KLAS” 2020-2022, 2024-2025 Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024 Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024 Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023 Energage Top Workplaces USA 2022-2024 Fortune Media Best Workplaces in Healthcare 2024 Monster Top Workplace for Remote Work 2024 Great Place to Work certified 2023-2024 - 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. This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role’s range. EEOC – Know Your Rights FMLA Rights - English La FMLA Español E-Verify Participating Employer (English and Spanish) Know your Rights

• Accurately review denied claims to identify root causes • Execute appropriate corrective actions, including clinical appeals, corrected claims, and data updates to secure maximum revenue recovery • Communicate directly with insurance representatives to negotiate settlements on accounts and resolve systemic payment discrepancies • Monitor denial trends and provide actionable feedback to front-end billing and clinical teams to prevent recurring errors in coding, eligibility, or credentialing • Follow up on unpaid claims and appeals by tracking unpaid claims, contacting insurance companies to inquire about payment, and appealing denied claims as needed • Stay current on state and federal regulations to ensure all recovery efforts meet legal and contractual standards • Document all resolution activities and maintain an organized worklist of accounts, prioritizing those nearing timely filing or appeal deadlines • Other duties as assigned

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description This role involves supporting a fast-growing AI research lab as a Fractional Billing & Accounts Receivable (AR) Operations Specialist. - Own end-to-end client invoicing cycles across time-and-materials, milestone-based, and retainer billing models - Ensure accurate tracking of billable hours, project codes, and client-specific billing terms - Collaborate with internal stakeholders across finance, operations, and client teams to validate invoice inputs - Maintain clear documentation of billing policies, procedures, and workflows - Monitor outstanding invoices and manage collections processes proactively - Lead professional client communication regarding billing inquiries and payment follow-ups - Maintain AR aging reports and provide visibility into revenue and cash flow forecasting - Identify patterns in payment delays and recommend operational improvements - Evaluate and improve billing systems, reporting workflows, and internal processes - Implement scalable controls to support growth in client volume and billing complexity - Support monthly revenue reconciliation and financial reporting processes - Ensure compliance with contractual terms and internal financial policies Qualifications - 5+ years of experience in billing and accounts receivable operations - Experience in professional services environments such as consulting firms, law firms, or advisory practices - Strong understanding of time-based and project-based billing models - Knowledge of revenue recognition fundamentals and AR collections workflows - Experience working with accounting platforms such as QuickBooks, NetSuite, Xero, or similar systems - Excellent written communication skills for professional client correspondence - Strong attention to detail and process discipline - Ability to work independently in a fractional capacity Requirements - Experience supporting venture-backed startups or high-growth technology companies - Familiarity with SaaS or AI services billing structures - Experience building billing processes for scaling organisations - Background collaborating with financial reporting or FP&A teams Benefits - Work at the forefront of AI innovation with a fast-growing research organisation - Help build and operationalise finance infrastructure for a rapidly scaling AI lab - Flexible fractional engagement with meaningful ownership of revenue operations - Direct impact on billing processes, collections strategy, and financial operations Contract Details - Independent contractor role - Fully remote with flexible scheduling - Fractional engagement depending on project needs - Weekly payments via Stripe or Wise - Projects may be extended or adjusted depending on performance and demand

Work Schedule: Monday-Friday; 7:00a-3:30p Coordinates all patient, client and insurance billings for the medical facility. Maintains detailed knowledge and application of billing requirements for third party payors. Processes insurance payments to patients’ accounts and works to coordinate information on these accounts through communication with providers and patients. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. - Maintains detailed knowledge of billing requirements and rules for third party payors. - Assures all financial and demographic information is correct and complete. - Assures that all allowances, discounts, co-payments are applied properly. - Processes insurance payments to patient accounts in computerized system. - Obtain prior authorization and perform patient benefit investigations. - Contact accounts, physician, or patient to obtain any missing information needed to accomplish accurate billing records. - Accepts additional responsibilities during staffing shortages. - Re-bills insurance companies or other third parties to secure payment for patients. - Assists with the training of appropriate personnel on computerized billing system. - Maintains knowledge of and adheres to the department’s Standard Operating Procedures (SOP’s). - Responds to patient/client billing and statement inquires through phone or mail correspondence. - Obtains and mails invoice copies for customers, as requested. - Researches and processes customer claims of invoice payment. - Answers accounts receivable phone inquiries and follows up with patient/client. - Identifies overpayment by insurance companies or patients and issues refund request forms to Supervisor. - Investigates insurance denials as necessary for maximum reimbursement. QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education/Experience: High school diploma or general education degree (GED); or one to three months related experience and/or training; or equivalent combination of education and experience. Language Ability: Ability to read and comprehend simple instructions, short correspondence and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization. Math Ability: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions and decimals. Ability to compute rate, ratio and percent and to draw and interpret bar graphs. Reasoning Ability: Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations. Computer Skills: Basic computer skills (windows, medical record software, MS Office, etc.) with proficient data entry skills of 40-50 wpm, in addition to basic knowledge of standard office equipment. Certificates and Licenses: No certifications required. HNL Lab Medicine is an equal opportunity employer. In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or other such protected classes as may be defined by law. All personnel actions and programs will adhere to this policy. Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and/or social activities. Address: 1200 S Cedar Crest Blvd Primary Location: REMOTE IN PENNSYLVANIA Position Type: Remote Department: 1046-00015 Billing