Ensemble Health Partners is a hospital and healthcare company that partners with client hospitals to help them develop processes, train teams, reach their financial and operational
Senior Denials Prevention Process Improvement Advisor
Location
Ohio
Posted
18 days ago
Salary
$69K - $104.1K / year
Seniority
Senior
Job Description
Senior Denials Prevention Process Improvement Advisor
Ensemble Health Partners
• Lead the performance of deep dive analysis on clinical and technical denials • Identify patterns and trends relative to acute denials • Perform root cause analysis on denied accounts • Guide and influence subject matter experts through assessments of operations • Oversee completion of denial prevention committee reports • Establish and maintain client relationships to drive best practice implementations • Create materials and train denial prevention staff
Job Requirements
- 4 year/ Bachelor's Degree in Healthcare administration, Business or related discipline
- Certified Specialist Managed Care (CSMC) preferred
- LEAN Six Sigma Black Belt and Certified Revenue Cycle Representative (CRCR) preferred
- Project Work
- Intermediate Excel & Access Skills
- Project Management
- Data Analytics
- Demonstrated advanced usage of AI for process improvements
Benefits
- Bonus Incentives
- Paid Certifications
- Tuition Reimbursement
- Comprehensive Benefits
- Career Advancement
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