Director, Client Delivery

Director Revenue Cycle

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!

The Opportunity:

The Director is responsible for day to day client operations and the planning, development, and implementation of policies, objectives and initiatives for acute or physician revenue cycle activities including outsourced vendors, clients and in-house functional areas of Patient Access, Health Information Management, and Patient Financial Services. This position reviews and implements systematic approaches to maximize revenue and cash flow and to ensure results are consistently delivered. As the face of Ensemble, this person is responsible for forming and nurturing relationships with the client and meeting client performance expectations through influence and direction of client and Ensemble operations. This position is required to communicate organizational values and positive leadership to all associates within the organization.

Job Competencies:

• Leadership
• Maintains knowledge of Revenue Cycle best practices ensuring high productivity and proficiency standards are met.
• Promotes a culture of collaboration between the CBO and facilities and serves as a positive role model for Revenue Cycle.
• Demonstrated ability to manage the day-to-day operations of multiple mid to large sized organizations providing a diverse and complex offering of services to the community.
• Ensures that appropriate documentation and education materials are used in all departments that you are responsible for and identifies any educational needs and communicates to the appropriate leader for development.
• Understands and stays abreast of payer requirements and changes in the industry and communicates those changes as well as the financial impact to local leadership.
• Represents Revenue Cycle on site-specific in person or virtual Finance and Operations meetings.
• Performance Monitoring/Improvement
• Monitors performance KPIs and routine reports including, but not limited to: Registration Accuracy, POS Collections, Denial Rate, Estimate Utilization, Elective Self-Pay, Timely Recurring Discharges, DNFB/CFB, High-Dollar In-house, Medical Necessity Issues, Recoupments, Charge Reconciliation and Accuracy, and Late Charges.
• Review and resolve accounts on hold or in DNFB/CFB status and work with appropriate leadership for Missing Documentation or Claim Edits. Participates in/Leads the Denial Avoidance Committee and ensures performance improvement plans are developed and implemented.
• Coaching & Building Talent - Achieves results through other leaders by empowering them and providing feedback, instruction, and development (coaching the coach) to develop their own associates; plans and supports the growth of individual skills and abilities in preparation for their next role (building bench); focuses on retention of high performers.
• Innovation: Demonstrated ability to work independently to ensure Revenue Cycle operations are managed efficiently and effectively.
• Ensures that best practice Revenue Cycle processes are communicated and implemented where necessary.
• Coordinates with the facility CFO to discuss both strengths and opportunities for improvement to meet performance metrics. Makes suggestions for process improvements and develops project plans with target milestone dates.
• Delegation - Successfully shares authority and responsibilities with others to move decision making and accountability downward through the organization while accomplishing strategic priorities; maintains personal ownership of outcomes without excessive involvement.
• Leading Teams - Inspires and sustains team unity and engagement by developing, motivating, and guiding the team to achieve results together through productive relationships and work.
• Executive Communication and Presence- Clearly and succinctly conveys information and ideas; communicates in a focused and compelling way that captures and holds others' attention (appropriate, impactful, and clear). Acts with utmost professionalism at all times.
• Program/Project Management - Demonstrates high accountability and responsibility for projects and programs from inception through completion/implementation; manages budget and resource planning and awareness to ensure maximized output, reduced waste and exceptional results.

Essential Job Functions:

• Articulates in writing plans with client deliverables, timelines, outcomes, and actions.
• Monitors bad debt and identifies process issues/improvements in areas such as registration, upfront collections, Medicaid eligibility Identifies gaps in client support/performance and proposes solutions (e.g. technology, services, processes) to drive performance improvement
• Has strong interpersonal skills and proven ability to build relationships and organization alignment, influence decisions, engage onsite operational teams and drive results.
• Participates and leads program level meetings with program stakeholders.
• Works closely with CFO and other client leadership to support analysis, reporting and service line development.
• Acts as Client Revenue Cycle expert and ensures prompt communication of emerging changes related to payer policies, contracting, regulatory updates and compliance requirements.
• Assists client leadership in understanding revenue cycle processes, metrics, tools, and reports.
• Facilitates monthly client meeting to review the revenue cycle operations performance and opportunities for improvement, strategic initiatives, partnership opportunities and escalated client support needs
• Promptly escalates operational and/or client concerns to Ensemble leadership.

Employment Qualifications:

• CRCR
• 3-5 years job related experience
• Demonstrated advanced usage of AI and the management of teams using AI to lean in to process and technological improvements, to include the exploration, experimentation, and application of AI.
• 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.

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.