Director Revenue Recovery

Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners 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 OFFERINGS:

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement
• This position pays between $75,600 - $126,000 based on experience.

By embodying our core purpose of customer obsession, driving innovation, and delivering excellence, you will help ensure that every touchpoint is meaningful and contributes to our mission of redefining the possible in healthcare. The Director of Revenue Recovery provides the strategic vision for identifying, tracking, and resolving or recovering all insurance reimbursement amounts owed to the client. The Director is responsible for implementing the tools, developing the department procedures and workflows, staffing to the needs of the department for peak performance and profitability, and for education and training related to underpayment identification and collection. The Director will also work with all revenue cycle departments to ensure operational workflows are supported and that internal trends contributing to the underpayment of claims are resolved on a go-forward basis. Travel is required with this position. Job Responsibilities include, but are not limited to:

• 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.
• Leads system-wide underpayment activities for all acute care facilities: including training, productivity, development of policies and procedures and compliance with all Ensemble Health Partners/client government and regulatory guidelines. Monitors trends in underpayments and works with both payors and other departments to resolve underlying reasons for variances. Monitors ongoing issues to ensure new processes are consistently followed and maintained.
• Responsible for developing high level management reports for senior leadership related to the volumes and related trends of underpayments. Develops weekly/monthly reporting to identify gaps in operations and works with key parties / departments to resolve the issues.
• Sets departmental priorities and procedures in accordance with best practices to utilize allocated resources to meet the company wide KPIs related to underpayment identification and recovery. Routinely analyzes resources and procedures to ensure adequate resources for meeting and exceeding those goals.
• Responsible for promoting a culture of two-way communications and creates opportunities for activities focused on employee engagement, including intentional coaching and mentoring. Promotes a culture of two-way communications and creates opportunities for staff participation. Ensures employee engagement through intentional coaching and mentoring.
• Coordinates directly with or delegates coordination with Managed Care, Denials Leadership, and Payor Leadership to resolve high volume and high dollar underpayment issues.
• Participates in monthly, quarterly, and annual key indicator goal setting.
• May be required to perform other job-related duties as requested.

Experience:

• Bachelors degree or equivalent experience
• 3 + years of leadership experience
• 3+ years of relevant experience in recovery of insurance reimbursements
• Effective leadership capabilities to handle daily operational activities, analyze situations, respond appropriately, and coordinate resources to meet organization and department needs
• Excellent interpersonal skills, verbal and written communication skills, and relationship management capabilities
• Strong reporting capabilities
• Strong organizational skills with the ability to prioritize projects efficiently and meet deadlines

Certifications:

• CRCR

Join an award-winning company Five-time winner of “Best in KLAS” 2020-2022, 2024-2025 Black Book Researchs 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 Groups 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 Health Partners 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 Health Partners also prohibits harassment of applicants or employees based on any of these protected categories. Ensemble Health Partners 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 roles range. EEOC - Know Your Rights FMLA Rights - English La FMLA Español E-Verify Participating Employer (English and Spanish) Know your Rights