高级医师计费专员
Senior Physician Billing Specialist
感谢您考虑在Ensemble的职业发展！
Ensemble是为医疗系统（包括医院和附属的医生集团）提供技术驱动的收入周期管理解决方案的领先供应商。他们为全国客户提供端到端的收入周期解决方案以及全面的点解决方案。
Ensemble通过保持医院的健康来维护社区的健康。我们认识到医疗行业需要人性化的关怀，我们相信每一次接触都应有意义。这就是为什么我们的员工是我们最重要的部分。通过赋予他们挑战现状的能力，我们知道他们将是变革的关键！
O.N.E使命：
- 客户至上：通过理解客户、患者和同事的需求并超越他们的期望，持续提供卓越的体验。
- 拥抱新想法：通过拥抱新兴技术并培养创新和实验的文化，不断进行创新。
- 追求卓越：通过展示我们的“KLAS最佳”Ensemble差异原则，以高水平执行并持续交付出色的结果。
机会：
职业机会提供：
- 奖金激励
- 付费认证
- 学费报销
- 全面福利
- 职业晋升
- 该职位时薪为18.65至20.50美元，根据经验而定
高级账单专员将每天处理所有系统中的失败账单/索赔，包括延迟费用、重新提交的账单以及任何其他账单报告。
核心工作职责：
· 在主机系统和账单供应商中审查/更新失败的账单和索赔。
· 每天处理电子提交（或277文件），解决索赔问题。
· 监控每日索赔错误和解决情况，并就系统改进提出建议。
· 每天处理延迟费用和重新提交的账单。
· 提交纸质索赔，并附上任何必要的文件以获得付款。
· 根据需要提取EOB和医疗记录，并将其附加到索赔中并邮寄。
· 与患者、保险公司或任何第三方联系以获取保险信息或任何额外的账单数据。
· 创建培训文档/测试。培训和教育员工，提供测试。
· 处理缺勤人员的办公桌工作。
本文件并非该职位所有职责、技能、义务、要求或工作条件的完整列表。员工可能需要根据主管的要求执行其他相关职务，前提是符合合理的调整要求。
查看英文原文
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 $18.65 - $20.50/hr based on experience
The Senior Billing Specialist will work daily failed bills/claims on all systems including late charges, rebills and any additional billing reports.
Essential Job Functions:
· Reviews/Updates failed bills & claims on host system and within billing vendor.
· Works daily electronic submissions (or 277's) resolving claim issues.
· Monitors daily claims errors and resolutions providing recommendations on systems fix's going forward.
· Works daily late charges & rebills.
· Bills hardcopy claims attaching any needed documentation for payment.
· Pulls EOB's and Medical Records as needed attaching to claims and mailing
· Contact patients, insurance, any third party for insurance information or any additional billing data.
· Creates training documents/tests. Train educate staff, providing testing.
· Work absentee staffing desk's
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.
Desired Work Experience:
1 to 3 Years
Desired Education:
High School Diploma, GED, or Equivalent Experience
Preferred Knowledge, Skills and Abilities:
- 2 years of an accredited degree or equal experience.
- Must also be CPB Certified. Internal candidates must have achieved 100% productivity and 95 % quality assurance for the prior 3-month period.
- Must have billing experience on multiple payers or a SME on one payer.
- Must demonstrate basic computer knowledge and demonstrate proficiency in Microsoft Excel. Must pass typing test of 35 words per minute (error adjusted).
- Must be able to provide a mock training session for the interviewer (s).
- 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.
Due to business, operational, payroll, and regulatory requirements, this position is limited to individuals who reside and are authorized to work within the United States. Applications generated from outside the United States will not be considered. Individuals may reapply when located within the United States.
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.
Employment Disclaimers – Ensemble
Originally posted on Himalayas