Full-Time
Public Benefit Specialist
Posted on 9/25/2025
Ensemble Health Partners
5,001-10,000 employees
End-to-end revenue cycle management for hospitals
Compensation Overview
$18.15 - $20/hr
No H1B Sponsorship
Bristol, VA, USA
In Person
This position requires on-site work at Bristol Regional Medical Center.
 Finance & Banking (1) |
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- 1-2 years of experience in healthcare industry, interacting with patients regarding hospital financial issues.
- High School Diploma or GED.
- Combination of post-secondary education and experience will be considered in lieu of degree.
- CRCR within 9 months of hire (Company Paid)
- Reviewing all referred uninsured/under-insured patients for program eligibility opportunities, initializing and coordinating the application process to facilitate accurate and appropriate submissions.
- Effectively communicating with the patient to obtain documents that must accompany the application.
- Following submitted applications to determination point, updating applicable insurance information and ensuring timely billing or adjustment posting.
- Documenting all relevant actions and communication steps in assigned patient accounting systems.
- Maintaining working knowledge of all state and federal program requirements; shares information with colleagues and supervisors.
- Developing and maintaining proactive working relationship with county/state/federal Medicaid caseworker partners, working collaboratively with other revenue cycle departments and associates.
- Other job duties as assigned.
- Understanding of Revenue Cycle including admission, billing, payments and denials.
- Comprehensive knowledge of patient insurance process for obtaining authorizations and benefits verification.
- Knowledge of Health Insurance requirements.
- Knowledge of medical terminology or CPT or procedure codes.
- Patient Access experience with managed care/insurance and Call Center experience highly preferred.
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
- Cohere partnership deploys agentic AI, automating 40% of AR follow-ups.
- Mary Washington Healthcare partnership expands mid-market client base in 2024.
- Microsoft Azure enhances EIQ with generative AI, securing eight patents.
What critics are saying
- R1 RCM undercuts pricing by 20-30%, eroding mid-market clients by Q1 2026.
- Optum360's DeepMind AI captures large contracts, reducing AR days faster.
- Cohere synthetic data leaks trigger $50M fines and Carilion exodus by Feb 2026.
What makes Ensemble Health Partners unique
- EIQ platform integrates AI for denial reduction and cash acceleration.
- Fixed-rate collections with performance incentives drive client accountability.
- End-to-end RCM embeds teams into client operations for full ownership.
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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.