Job Summary

• The Senior Medical Billing & Claims Director (Automation) is responsible for analyzing claim edits, rejections, and delays, designing future-state billing workflows, and translating billing logic into structured rule sets suitable for automation and AI.
• Operators serve as subject matter experts in specific revenue cycle domains while maintaining literacy across the end-to-end revenue cycle, redesigning workflows, identifying upstream root causes, and building knowledge graphs.
• Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, offering end-to-end solutions and point solutions, and is recognized for its commitment to innovation and employee growth.

Matching Summary

Skills & Requirements

Key Requirements

• 5+ years of hands-on experience in revenue cycle
• Strong end-to-end revenue cycle literacy
• Exceptional process mapping and improvement capability
• Data-driven problem solving
• Ability to operate effectively in ambiguity
• Strong communication skills
• Curiosity and aptitude for automation, ML/AI
• Demonstrated advanced usage of AI

Work Rights