• Own high-volume inbound patient and provider communication queues across phone, email, chat, and SMS, responding quickly while maintaining accuracy and professionalism. • Serve as the first point of contact for patients, resolving inquiries in real time without unnecessary handoffs. • Schedule, reschedule, and coordinate appointments accurately, ensuring clean handoffs to GI Providers, Registered Dietitians, and Behavioral Health Providers. • Respond to billing and insurance questions, clearly explaining benefit design and cost-share in a way patients can understand. • Triage clinical questions accurately, manage pharmacy inquiries, and coordinate prescription and refill requests with urgency and attention to detail. • De-escalate challenging interactions with confidence and empathy while documenting all patient interactions accurately in real time. • Proactively identify workflow inefficiencies and suggest improvements that increase speed and patient satisfaction.

• Responsible for providing care coordination (treatment planning, assessment, monitoring, educating, and referral/linking) to individuals identified in the Transitions to Community Living Initiative Special Needs Populations (TCLI) • Work collaboratively with licensed Clinicians, Registered Nurses, and Peer Support Specialists to ensure successful discharge/transition planning/post transition monitoring • Provide care coordination/care management to assigned TCL individuals who may have identified needs with behavioral health, physical health, co-occurring, co-morbid, or multi-morbid conditions • Assess member’s needs who have transitioned into supportive housing to determine if additional support and services are needed for continued independent living • Ensure timely and accurate documentation of all planning and coordination efforts in multiple software platforms and State database systems

Role Description We are on the lookout for a VIP Coordinator to join our VIP Department. - Handle incoming chat messages from VIP players, providing prompt, accurate, and high-quality support. - Ensure professional and customer-oriented communication with players. - Monitor player activity and account status in the CRM system. - Maintain accurate and up-to-date records of player inquiries and account information. - Escalate complex cases to senior specialists or VIP managers when necessary. - Follow company service standards and internal procedures. - Collaborate with CRM, Payments, and Marketing teams as needed. - Inform players about available bonuses, promotions, and personalized offers (based on templates and guidelines). - Represent the company positively and adhere to Responsible Gaming principles. Qualifications - Experience in the iGaming industry: Minimum 6 months (support, customer service, or related roles). - Communication Skills: Strong written and verbal communication abilities; ability to handle chat interactions professionally. - Languages: English — fluent (C1); German— fluent (C1). - Customer Orientation: Ability to work with different player types, including demanding users. - Stress Resistance: Ability to handle a high volume of incoming requests. - Technical Skills: Confident use of CRM systems, chat platforms, Microsoft Office, and internal tools. - Attention to Detail: Accuracy, reliability, and adherence to procedures. - Education: A background in service, marketing, business, or related fields is an advantage. Benefits - Remote work opportunity. - Flexible working schedule. - Interesting product. - Learning opportunities. - Career growth prospects.

Title: Denials RN Coordinator Location: Remote United States Full time Job Description: 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 $62,500.00 - $79,800.00/ based on experience The Denials RN Coordinator prepares appeals for clinical and technical claim denials across all client hospital facilities. Job duties include but are not limited to: understanding insurance contract terms, reviewing claim denials and underpayments to determine if additional payment amounts can be expected, analyzing medical records and determining if a member or an Independent Review organization (IRO) appeal is necessary, understanding payer medical policy guidelines, preparing IRO appeal documentation which may include correcting and resubmitting claims, gathering additional information, reviewing medical records, acting as a liaison between healthcare providers for any additional medical documentation or clarification, and submitting provider, member and IRO/ALJ appeals in a timely manner. Knowledge and understanding of ERISA compliance laws, healthcare provider and member's legal rights regarding member appeal and grievance processes. Ensures compliance with HIPAA regulations. In addition, the Denials RN Coordinator will work closely with the Clinical Appeal team and Case Management Department to ensure denial trends and outcomes are communicated in a timely manner. Serves as a mentor and provides necessary training and education to Clinical Denial and Underpayment team members. The Denials RN Coordinator will perform these duties while meeting Ensemble principles, as well as meeting the regulatory compliance requirements. Essential Job Functions: - Denials RN Coordinator primary responsibility is the review of complex claims and escalating clinical or technical claim denials for potential provider, member level or IRO/ALJ appeal. - Extensive review of medical records for medical necessity criteria, filing written letters of appeal on denied claims, filing complaints with state Department of Insurance, acting as a liaison between healthcare providers for any additional medical documentation or clarification, and submitting appeals in a timely manner. - Reviewing claim denials and underpayments to determine if additional payment amounts are expected and identifying trends in payment discrepancies amongst payors. - Work closely with the Clinical Denial team and Case Management Department to ensure denial trends and outcomes are communicated in a timely manner. - Acts as a mentor and provides necessary training and education to Clinical Denial and Underpayment team members. - Performs other duties as assigned. Legally Required License: Registered Nurse RN Job Experience: 5 to 7 years Preferred Knowledge, Skills and Abilities: - 4 year/ Bachelors Degree - 2 years of denials, utilization review, or case management experience strongly preferred - Must pass typing test of 45 words per minute (error adjusted) - 5+ Years of experience in: - Revenue Cycle - Legal nurse consulting - Chart audit/review - Provider relations - Internal Candidate must have met 100% productivity and 100% Quality Assurance, in the previous 3 months - 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. - 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. 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. Employment Disclaimers - Ensemble