Full-Time
Manager Patient Access
Ensemble Health Partners
5,001-10,000 employees
End-to-end revenue cycle management for hospitals
Compensation Overview
$63.1k - $78.9k/yr
Wyomissing, PA, USA
In Person
 Operations & Logistics (1) |
|---|
- Certified Revenue Cycle Representative (CRCR) certification
- Certified Healthcare Access Manager (CHAM) certification
- Bachelor's Degree or Equivalent Experience in Healthcare Management/Administration
- Minimum 2–3 years of management experience in healthcare industry
- Patient Access experience with managed care/insurance or call center (preferred)
- Experience with Microsoft applications
- Ability to balance numerous priorities and prioritize effectively
- Ability to understand and master numerous computer applications and work with the Information Technology department to meet department technological needs
- Demonstrated advanced usage of artificial intelligence and management of teams using AI to improve processes, including exploration, experimentation, and application of AI
- On-site work requirement at the hospital
- Manager is responsible for directly managing the operations for the admitting, registration, and financial services departments at the acute care locations.
- Admitting staff are responsible for assigning accurate Medical Record Numbers, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving and processing physician orders, and providing excellent customer service.
- Managing Financial Service Representatives and ensuring that proper accounting processes are followed, cash drawer is balanced, money is deposited timely and posted accurately to patient accounts, and proper logs are completed and submitted as requested by Financial oversight departments.
- Develops and manages departmental staffing needs. Prepares monthly reports as requested. Establishes departmental goals with the staff to optimize performance and meet organizational while improving operations to increase customer satisfaction and meet financial goals of the organization.
- Coordinates employee work schedules to provide adequate daily staffing coverage.
- Collects, interprets and communicates performance data using various tools and systems, while also using this data to make decisions on how to achieve performance goals.
- Works with internal and external customers to make key decisions, impacting either the whole organization or an individual patient.
- Works closely with ancillary departments to establish and maintain positive relations to ensure revenue cycle goals are achieved.
- Assists in the development of dyad-reporting patient access staff.
- Provides training, education, goal-setting, and performance interventions as necessary to ensure adequate performance.
- Performs other duties as assigned.
- Knowledge or experience in healthcare analytics and reporting improvements beyond standard Revenue Cycle Operations (if present)
- Any additional certifications related to healthcare administration or revenue cycle optimization beyond CRCR and CHAM
- Experience with AI implementation and change management in a healthcare setting beyond general AI usage
- Experience with process improvement methodologies (such as Lean, Six Sigma) in revenue cycle or healthcare operations
Ensemble Health Partners provides end-to-end revenue cycle management for hospitals and health systems. It handles the entire process from patient intake to final payment, with teams and technology embedded into the provider's operations and a revenue model tied to performance improvements. The company uses its proprietary EIQ platform (analytics, AI, and workflow automation) to optimize revenue cycle processes, reduce insurance denials, and speed cash collection, managing more than $39 billion in net patient revenue. Its approach differentiates it by being a true managed-services partner with full accountability for financial outcomes and a track record of meeting initial client goals. The overarching goal is to improve healthcare providers’ financial performance so they can focus on patient care.
Company Size
5,001-10,000
Company Stage
N/A
Total Funding
N/A
Headquarters
Huntersville, North Carolina
Founded
2014
Simplify's Take
What believers are saying
- Carilion Clinic selected Ensemble July 2024 for comprehensive RCM outsourcing.
- Mary Washington Healthcare partnered October 2024, expanding mid-sized client base.
- Cohere AI autonomously manages 40% AR tasks, boosting denial overturns 15%.
What critics are saying
- Cohere discontinues North platform within 18 months, paralyzing 40% AR operations.
- Microsoft Azure pricing surges in 12 months, crippling EIQ generative AI capabilities.
- Major client like Carilion terminates contract in 12 months, slashing recurring revenue.
What makes Ensemble Health Partners unique
- Ensemble delivers end-to-end RCM with full accountability for client financial performance.
- Proprietary EIQ platform integrates AI and analytics for denial reduction and cash acceleration.
- First RCM-native LLM built with Cohere handles complex tasks HIPAA-compliantly.
Help us improve and share your feedback! Did you find this helpful?
Benefits
Health Insurance
Professional Development Budget
Performance Bonus
Flexible Work Hours
Comprehensive Benefits
Company News
Ensemble, a US revenue cycle management services provider, has partnered with enterprise AI company Cohere to build the healthcare industry's first revenue cycle management-native large language model. The companies are creating a custom model informed by Ensemble's operational expertise and data, designed to handle complex healthcare financial operations more accurately than general-purpose LLMs. The model will be embedded into AI agents managing processes from patient intake to account resolution. Unlike standard approaches that rely on prompt engineering, this system is fine-tuned on real RCM tasks and trained using synthetic datasets in a HIPAA-compliant environment, without using identifiable patient data. The solution aims to enhance existing electronic health record systems by providing better context and guidance for navigating payer requirements whilst reducing administrative burden for healthcare providers.
The article discusses the transformative impact of technology on healthcare, highlighting Ensemble Health's billion-dollar valuation amid a shift towards AI, telehealth, and extended reality. AI advancements promise personalized medicine, while telehealth evolves with Remote Patient Monitoring. The metaverse emerges as a tool for training and therapy. Challenges include data privacy, interoperability, and cybersecurity. The goal is a more personalized, accessible, and proactive healthcare system.
What You Should Know:– Ensemble, a leading provider of end-to-end revenue cycle management (RCM), has partnered with Cohere, a security-first enterprise AI company, to introduce the first fully integrated agentic AI platform for revenue cycle orchestration in healthcare.– This collaboration merges Ensemble’s decade-long RCM expertise with Cohere’s enterprise-grade AI infrastructure to deliver faster, smarter, and more secure financial operations for hospitals and health systems.Advancing Revenue Cycle Intelligence with Secure, Scalable AI IntegrationEnsemble has integrated Cohere’s enterprise-grade AI models—trained on a decade of Ensemble’s high-performing revenue cycle outcomes—throughout its entire RCM infrastructure. This collaboration represents the inaugural healthcare deployment of Cohere’s North platform, establishing a new benchmark for secure, scalable agentic AI within clinical financial operations, all while ensuring full HIPAA compliance and data integrity.In contrast to traditional, narrowly focused AI tools, Ensemble and Cohere have co-engineered a horizontally deployed network of reasoning-based agents. These AI agents leverage contextual data analysis and adaptive decision-making frameworks to resolve multifaceted revenue cycle challenges, particularly in insurance reimbursement, without depending on inflexible rule sets.A human-in-the-loop architecture reinforces the platform’s operational integrity, embedding rigorous quality assurance mechanisms across every decision layer. Currently, this system autonomously manages more than 40% of accounts receivable (AR) follow-up tasks—previously handled manually—and is on track to expand into additional complex workflows, including prior authorization, utilization management, clinical coding, and denial prevention.The broader AI ecosystem features:• Generative AI trained on clinical documentation to enhance the accuracy and speed of denial appeals• Conversational AI modules designed to streamline patient interactions and reduce call resolution time• Predictive analytics tools for early identification of denial risks• Agent assistants that augment frontline staff productivityThese technologies are already delivering tangible operational benefits, including:• A 40% increase in the speed of denial appeal submissions• A 15% uplift in appeal overturn rates• A 35% reduction in patient call resolution times• Improved overall patient satisfaction metricsCohere was selected for its proven capacity to implement secure AI solutions in highly regulated environments. Its North infrastructure ensures seamless, secure integration across diverse platforms—including provider host systems, payer portals, and internal administrative tools—while upholding the highest standards of data privacy and system interoperability.Nick Frosst, Co-Founder of Cohere, remarked, “Working with Ensemble to bring secure AI into healthcare—where data privacy is a deeply personal issue—is an incredible opportunity. By working together, we’re setting a new standard for tackling some of healthcare’s toughest administrative challenges and showing how agentic AI makes a real-world difference.”
Cincinnati, OH, Oct. 16, 2024 (GLOBE NEWSWIRE) -- Ensemble, the partner of choice for end-to-end revenue cycle management for mid-sized to large healthcare organizations, has been named a Leader in Everest Group’s RCM Operations PEAK Matrix® Assessment 2024. According to the assessment, Ensemble is the highest-designated leader for market impact reflecting not only the strength of its vision, expertise and approach to technology, but the unmatched value delivered at scale to a rapidly growing and highly satisfied client base. “This latest recognition validates our commitment to client satisfaction, delivering a frictionless revenue cycle and providing significant value for leading healthcare systems across the country,” said Ensemble Founder, President and CEO Judson Ivy. “The healthcare revenue cycle is growing increasingly more complex due to changing regulations, reimbursement requirements and rapid shifts in payer policy. We are proud to be recognized as a leader for our excellence in improving financial outcomes and patient experiences so providers can hyper-focus on delivering high-quality care to their patients and communities.” According to Everest Group, Ensemble’s strengths include value delivered, vision and strategy, innovation and investments and scope of services offered
Cincinnati, OH, Oct. 03, 2024 (GLOBE NEWSWIRE) - Ensemble, the market leader in revenue cycle management for mid-sized to large healthcare organizations, announced today that is has been selected by Mary Washington Healthcare (MWHC) as their strategic revenue cycle management partner.