Employment Type: Full timeShift: Day Shift Description: POSITION PURPOSE Work Remote Position (Pay Range: $17.1538-$25.7307) Performs day-to-day activities required to process credit account balances from patients and insurances within the Hospital and/or Medical Group revenue operations ($3-5B NPR) of a Patient Business Services (PBS) location. Serves as a member of a team at an assigned PBS location responsible for reducing patient balance account receivable credits and coordinating with the customer service team to communicate to patients regarding overpayments. Responsibilities require expertise in determining the root cause of credit balances and in taking the appropriate steps to resolve issues resulting in full adjudication of an account. Work activities include posting patient balance refunds and rebilling claims as needed to maintain manageable credit accounts receivable and to ensure accurate submission of claims and patient statements. This position reports directly to the Supervisor Payment Posting. ESSENTIAL FUNCTIONS Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions Performs daily activities of the Payment Posting team which reviews, monitors and performs follow up on patient credit accounts receivable as part of the revenue cycle process for an assigned PBS location Documents corrections regarding discrepancies created, and outstanding items and exceptions in appropriate systems regarding rejections and follow up activities performed in order to enable others to review claim history on all accounts. Tracks data on payment activity and findings for the Supervisor. Performs account adjustments or write-offs as needed in accordance with the Write-off- Policy. Research credit balances caused by payment posting and prepares appropriate documentation. Serves as a backup to the Payment Posting Representatives. Prepares refund checks to patients and enters data into appropriate system. Performs duties in a manner which promotes accurate cash posting and reconciliation. Adheres to proactive practices, including cash posting of all incoming payments in a timely and effective manner. Performs processes related cash posting to ensure such activities are submitted timely, tracked, trended and reported to key stakeholders. Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Integrity and Compliance Program and Code of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior. MINIMUM QUALIFICATIONS High school diploma or Associate's degree in Accounting or Business Administration with at least two (2) years of experience and relevant knowledge of revenue cycle functions and systems within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting, or customer service activities or an equivalent combination of education and experience. Some knowledge of health insurance and governmental programs, regulations, and billing processes, e.g., Medicare, Medicaid, Social Security Disability, Champus, Supplemental Security Income Disability, managed care contracts and coordination of benefits is highly desired. Experience in a complex, multi-site environment preferred. Proficient in Microsoft Office, including Outlook, Word, PowerPoint, and Excel. Excellent written and verbal communication skills and organizational abilities. Strong interpersonal skills in interacting with internal and external customers. Strong accuracy, attention to detail and time management skills. Completion of regulatory/mandatory certifications and skills validation competencies preferred. Must be comfortable operating in a collaborative, shared leadership environment. Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health. PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS This position operates in a typical office environment. The area is well lit, temperature controlled and free from hazards. Incumbent communicates frequently, in person and over the phone, with people in all locations on product support issues. Manual dexterity is needed in order to operate a keyboard. Hearing is needed for extensive telephone and in person communication. The environment in which the incumbent will work requires the ability to concentrate, meet deadlines, work on several projects at the same time and adapt to interruptions. Must be able to set and organize own work priorities and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles. Must possess the ability to comply with Trinity Health policies and procedures. Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Remote, Nationwide – Seeking Billing Specialist Everybody Has A Role To Play In Transforming Healthcare As a Billing Specialist, you play a vital role in our mission to improve lives. As part of Billing Operations, you will be verifying insurance coverage of payers, identifying account classification, process billing exceptions, and more. At Vituity we know the impact you can have. Join the Vituity Team. At Vituity we’ve cultivated an environment where passion thrives, and success comes through shared purpose. We were founded in a culture that values team accomplishments more than individual achievements, an approach we call “culture of brilliance.” Together, we leverage our strengths and experiences to make a positive impact in our local communities. We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done. Vituity Locations: Vituity has opportunities at 475 sites across the country, serving 9 million patients a year. With Vituity, if you ever need to move, you can take your job with you. The Opportunity - Identifies the correct Financial Class and enters in billing system. - Posts extracts and correct validation errors in system. - Identify trends and communicates to leadership team. - Reviews incoming documentation to identify correct payer to accounts. - Researches eligibility to ensure correct insurance coverage of payer. - Ensures payer mapping (crosswalk) is set-up correctly. - Identifies contract matrix discrepancies and/or gaps and communicates accordingly. - Analyzes decision log errors related to the daily census. - Identifies trends with incoming data and communicates to leadership team. - Analyzes pre-submission errors to identify root cause and recommends a solution. - Processes denials related to eligibility to identify correct payer or payer request. - Processes electronic rejections, identifies root cause, and recommends/makes appropriate updates to accounts. - Processes returned mail, write-off accounts, and daily exception reports. - Processes Laserfiche folders (duplicate, pending review, etc.) to ensure documentation is processing timely. - Identifies Work in Process (WIP) and creates exception reports for management. - Processes activity codes for Account Classification or account suspended issues. - Retrieves missing documentation for payer accounts from various applications and/or site portal. - Prints, sorts, and files miscellaneous billing related documentation. - Completes daily log via manual entry into billing system. - Time tracking for manual sites. - Trains fellow team members as requested or needed. Required Experience and Competencies - High school diploma or GED required. - One or more years of experience in billing operations required. - Prior experience working in the healthcare industry preferred. - Knowledge of payer Financial Classifications for billing. - Knowledge of account exception processes in billing operations. - Ability to read and interpret Explanation of Benefits (EOB) from various payers. - Ability to communicate trends to leadership team clearly. - Ability to problem solve challenges that may not be previously outlined in a payer manual. - Ability to communicate effectively in writing and verbally. - Ability to analyze, interpret, and create various billing related reports. - Knowledge of and ability to apply basic math concepts. - Ability to complete duties with attention to detail and high degree of accuracy. - Ability to prioritize workflow and work autonomously. - Basic understanding of Microsoft Office applications (Word, Excel, and Outlook). - Ability to comply with RCM billing policies and procedures. The Community Even when you are working remotely, you are an important part of the Vituity Community. We offer plenty of opportunities to engage with other Vitans through a variety of virtual meet-and-greets, events and seminars. - Monthly wellness events and programs such as yoga, HIIT classes, and more. - Trainings to help support and advance your professional growth. - Team building activities such as virtual scavenger hunts and holiday celebrations. - Flexible work hours. - Opportunities to attend Vituity community events including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more. Benefits & Beyond* Vituity cares about the whole you. With our comprehensive compensation and benefits package, we are mindful of what matters most, and support your needs of today and your plans for the future. - Superior health plan options - Dental, Vision, HSA/FSA, Life and AD&D coverage, and more - Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6%25 - Outstanding Paid Time Off: 3-4 weeks’ vacation, Paid holidays, Sabbatical - Student Loan Refinancing Discounts - Professional and Career Development Program - EAP, travel assistance, and identify theft included - Wellness program - Commuter Benefits Program - Purpose-driven culture focused on improving the lives of our patients, communities, and employees. We are excited to share the base salary range for this position is $17.12, exclusive of fringe benefits or potential bonuses. This position is also eligible to participate in our annual corporate Success Sharing bonus program, which is based on the company’s annual performance. If you are hired at Vituity, your final base salary compensation will be determined based on factors such as skills, education, and/or experience. We believe in the importance of pay equity and consider internal equity of our current team members as a part of any final offer. Please speak with a recruiter for more details. We are unified around the common purpose of transforming healthcare to improve lives and we believe everyone has a role to play in that. When we work together across sites and specialties as an integrated healthcare team, we exceed the expectations of our patients and the hospitals and clinics we work in. If you are looking to make a difference, from clinical to corporate, Vituity is the place to do it. Come grow with us. Vituity does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Vituity is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity. *Benefits for part-time and per diem vary. Please speak to a recruiter for more information. Applicants only. No agencies please.

• Responsável por conduzir os processos de faturamento de maior complexidade, garantindo a acuracidade dos dados e a conformidade dos rateios personalizados. • Atuar como suporte técnico na resolução de inconsistências críticas e na interface com clientes e operadoras, assegurando o cumprimento dos SLAs e a integridade das informações em todas as plataformas. • Executar análises detalhadas de faturamento, identificando e corrigindo inconsistências; • Realizar rateios personalizados complexos e validar cálculos; • Coordenar o envio e conferência de arquivos com clientes e operadoras; • Acompanhar processos de isenção de copay, garantindo rastreabilidade; • Efetuar e validar lançamentos sistêmicos e assegurar a integridade dos dados entre plataformas (Qbem, Quiver Pro, etc.); • Efetuar e validar lançamentos sistêmicos e assegurar a integridade dos dados sistêmicos do cliente; • Contribuir para o controle de indicadores de produtividade e qualidade; • Confeccionar o arquivo de folha personalizado de acordo com cliente; • Realizar interface com clientes, operadoras para resolução de ocorrências; • Apoiar a liderança na implantação de melhorias e automações; • Realizar prorrogações de fatura; • Realizar negociação de pleitos junto às operadoras quando necessário. • Treinar e orientar Analista I e II; • Garantir o cumprimento de SLA’s e padrões de qualidade estabelecidos.

Thank you for considering a career at Ensemble! Ensemble 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 - The starting pay for this position is $18.65 to $20.50 /hr, final compensation will be based on experience ­­­­ Job Summary The Specialist of Billing Integrity II performs mulitiple revenue cycle systems activities by blended client assignment and/or enterprise wide Essential Job Functions - Resolving multi-disciplanry edits (i.e. registration, coding, revenue integrity, billing, etc.) - Collaborates with Billing and Denials Management department to identify trend analysis of multidisciplinary errors by identifying new claims rules/edit needs to facilitate accurate billing - Works daily electronic 277's and or RTPs resolving claim issues - Contact patients, insurance, any third party for insurance information or any additional billing data when needed - Floats to work absentee staffing desks - Works daily electronic 277's and or RTPs resolving claim issues. - Assist with the creation of SOP's, Policies and flow charts as needed - Assist with new client implementations by assisting with preparation of the clients unbilled reports and unbilled meetings, completion of Best Practice Tracker and playbooks - Create training documents then trains and tests staff - Assist with new client implementations by assisting with preparation of the clients unbilled reports and unbilled meetings, completion of Best Practice Tracker and playbooks. - Remain familiar of all coding, revenue integrity and billing changes on state and federal levels for assigned clients, while ensuring team members are also made aware of changes - As a Specialist Billing Integrity II, the candidate will be responsible for being cross trained in multiple clients This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Associates may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation. Ensemble Required License: CPCH, CPCO, CPC, CRCR Desired Work Experience: 3 to 5 Years Required Knowledge, Skills and Abilities: - 3-5 years experience in healthcare industry/revenue cycle functions. End to end revenue cycle knowledge or background. - Experience on multiple payers regulations or a SME for one payer. - Must demonstrate basic computer knowledge. - Must pass typing test of 35 words per minute (error adjusted). - Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences. - 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. 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 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 also prohibits harassment of applicants or employees based on any of these protected categories. Ensemble 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