Revenue Integrity Quality Assurance Analyst

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 $51,700- $99,000 based on experience  

The Revenue Integrity Quality Assurance Analyst supports the operations of the Revenue Integrity team by completing both overall and account-level quality reviews for domestic and global Revenue Integrity in accordance with policies and procedures. Quality audits are inclusive of assessing staff adherence to Revenue Cycle policies, procedures and guidelines established by Revenue Integrity.

Job Responsibilities:

Quality Assurance

• Completes timely and accurate quality audit reviews while adhering to Revenue Cycle policies and procedures.

• Performs evaluations in an unbiased and consistent manner

• Document quality assurance findings and trends to leadership

• Validates productivity measurements and provides continuous monitoring of the efficacy of the production standards

• Maintain/Update quality scorecards

• Operational Improvement

• Conducts extensive root cause analysis to determine key issues and translates quality auditing results into actionable recommendations for improvement, relays findings and recommended action plan.

• Perform root cause analysis to understand key issues and operational risks to help drive targeted improvements across Revenue Integrity.

• Performs process, operational and system workflow monitoring/reviews to ensure that efficient, work processes are being executed.

Education

• Stay up-to-date with industry trends, emerging technologies, and regulatory changes affecting healthcare revenue cycle management and proactively share knowledge with the team.

• Collaborates with educators in assessing areas of improvement based on quality review results and trending. Provide recommendations for training needs, tool and materials.

• Evaluation of current processes and tools and propose changes in order to drive efficiencies within Revenue Cycle.

• Coordinate operational objectives by contributing information and recommendations to strategic plans and reviews; preparing and completing action plans.

• This position will be proactive in auditing and reconciling each analysts own data findings, report results in order to maintain improve the quality and integrity data provided by the analyst.

Experience We Love:

• 3-5 years of previous experience in a similar area

• Bachelors degree, or equivalent experience

• CRCR Certification, or willingness to obtain within 9 months of hire

• 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.

#LI-LS1

#LI-REMOTE

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 [email protected].

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