• Supports the complete and timely collection of revenue for assigned groups by performing accurate coding and entry of patient and charge information into the billing system. • Tracks all high dollar claims from charge entry to payment and resolves complex carrier issues. • Actively follows up on outstanding complex claims/or charges. • Reviews and resolves complex issues that result in payer denials, including appeals, coding corrections, medically necessity rules and other related functions. • Assists the auditor in reviewing notes for medical necessity. • Works with the authorization department to resolve authorization issues with complex procedures. • Runs and maintains tracking logs to track complex high dollar procedures and report the results to the billing department management team. • Contacts the various Provider Service Representatives to resolve repetitive payment issues. • Acts as a resource for the Billing Staff for complex issues. • Analyzes and resolves billing issues, keeping A/R to no more than 10% over 60 days. • Processes daily correspondence, claim status, handles denials, appeals, and re-bills. • Answers billing questions and inquiries from patients and internal staff. • Updates patient files with address changes, contact information changes, etc., as needed. • Reviews all policy changes on a regular basis and informs supervisor and charge entry specialist of such changes. • Efficiently navigates assigned insurance companies' proprietary websites to find policies, research payments, etc. • Keeps supervisor apprised of matters regarding accounts receivable. • Responds to requests from the billing company in a timely fashion. • Researches denials and submits correct claims/medical documentation. • Reviews and manages claims within the work dashboard hold buckets for resolution. • Creates, maintains, and updates reports, as directed. • Exercises confidentiality in all areas, abiding by HIPAA rules and regulations. • Helps train new revenue cycle staff. • Collects and reviews end of day reports. • Checks work e-mail on a regular basis throughout the workday. • Participates in and completes all required trainings and in-services. • Performs other duties as assigned.

• Supports complete and timely collection of revenue for assigned groups by performing accurate coding and entry of patient and charge information into the billing system. • Tracks all high dollar claims from charge entry to payment and resolves complex carrier issues. • Actively follows up on outstanding complex claims/or charges. • Reviews and resolves complex issues that result in payer denials, including appeals, coding corrections, medically necessity rules and other related functions. • Assists the auditor in reviewing notes for medical necessity. • Works with the authorization department to resolve authorization issues with complex procedures. • Runs and maintains tracking logs to track complex high dollar procedures and reports the results to the billing department management team. • Contacts various Provider Service Representatives to resolve repetitive payment issues. • Acts as a resource for the Billing Staff for complex issues. • Analyzes and resolves billing issues, keeping A/R to no more than 10% over 60 days. • Processes daily correspondence, claim status, handles denials, appeals and re-bills. • Answers billing questions and inquiries from patients and internal staff. • Updates patient files with address changes, contact information changes, etc., as needed. • Reviews all policy changes on a regular basis and informs supervisor and charge entry specialist of such changes. • Efficiently navigates assigned insurance companies' proprietary websites to find policies, research payments, etc. • Keeps supervisor apprised of matters regarding accounts receivable. • Responds to requests from billing company in a timely fashion. • Researches denials and submits correct claims/medical documentation. • Reviews and manages claims within the work dashboard hold buckets for resolution. • Creates, maintains and updates reports, as directed. • Exercises confidentiality in all areas, abiding by HIPAA rules and regulations. • Helps train new revenue cycle staff. • Collects and reviews end of day reports. • Checks work e-mail on a regular basis throughout the workday. • Participates in and completes all required trainings and in-services. • Performs other duties as assigned.

• Ensure the dispatch of billing kits properly checked to clients, within established SLAs, to ensure payments are processed by their due dates. • Receive and verify the billing files/data sent by the client, ensuring they comply with contractual rules. • When analysis of the Enrollment/Application Form is required, be responsible for checking, sending, and following up with the insurer and the client. • Upload files to insurers' websites or send them by email. • Download invoices via insurers' websites/channels, verify them and send to clients; if inconsistencies are found, return them to the insurer for correction. • Store files provided by clients and insurers in each client's internal system. • Prepare reports and allocations using internal tools, according to the client's requested format. • Send billing kits, within established SLAs, containing the required files, by email or system to clients. • Negotiate due-date extensions for boletos (payment slips) with insurers/operators in case of an internal failure or delay. • Clarify clients' questions via email or phone. • Process endorsement entries in Alper's internal system. • Keep internal controls duly completed and updated. • Focus on SME clients (up to 200 lives).

Title: Physician Billing Supervisor Location: United States Job Description: Remote - Nationwide time type Full time job requisition id R046981 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: ­­­­CAREER OPPORTUNITY OFFERING: - Bonus Incentives - Paid Certifications - Tuition Reimbursement - Comprehensive Benefits - Career Advancement - This position pays between $52,100.00 - $65,125.00/based on experience The Supervisor of Billing oversees all Ensemble Health Partners Billing associates and is responsible for the performance and effectiveness of the department. The Supervisor will be responsible for monitoring associates time and attendance, productivity, QA reviews, daily assigned workflows along with ensuring associate education is provided, compete annual associate evaluations. They will ensure department objectives are met to facilitate compliant billing, improve revenue, accelerate cash, and reduce denials. Additionally, they will be responsible for monitoring all associates who support all paper biller and electronic biller functions to ensure accuracy of claims submissions. The Supervisor will work with multiple disciplinaries including but not limited to Patient Access, Coding, Follow Up, Denials and any additional Revenue Management departments needed to aid in effort to ensure timely account review related to unbilled workflow. They will empower staff to develop methods of process improvement, including planning, and setting priorities. Essential Job Functions: - Reports on Key Performance Indicators for the department and will be held to the standards identified as benchmarks for each client - Manage the daily workflow of the department, monitor progress to identify trending issues and develop training or processes to address these issues - Hold huddles to efficiently cover new or evolving training focuses to encourage and develop team members - Overseeing progress on the floor and monitoring the worked accounts for quality assurance - Manage assigned associate's time management and approval of timecards for payroll processing. 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. Job Experience: 1 to 3 Years Required Knowledge, Skills and Abilities: - Excel knowledge is preferred - Experience with Revenue Cycle Management and Billing is preferred - 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. - Demonstrated advanced usage of AI and the management of teams using AI to lean in to process and technological improvements, to include the exploration, experimentation, and application of AI. 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 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.