Senior Denials & Appeals Director (automation)

Ensemble Health Partners

Austin, TX, United States
Hybrid
Identify denial root causes
Design prevention models
Validate ai-assisted appeal generation
The Senior Denials & Appeals Director (Automation) is responsible for identifying true denial root causes, designing actionable taxonomies and prevention models, and validating AI-assisted appeal generation and predictive denial approaches

Job Summary

  • The Senior Denials & Appeals Director (Automation) is responsible for identifying true denial root causes, designing actionable taxonomies and prevention models, and validating AI-assisted appeal generation and predictive denial approaches.
  • Operators serve as subject matter experts in specific revenue cycle domains while maintaining literacy across the end-to-end revenue cycle, redesigning workflows, and participating in design sessions.
  • Ensemble offers a comprehensive benefits package, invests in professional development with certifications and tuition reimbursement, and provides recognition programs.

Matching Summary

The Senior Denials & Appeals Director (Automation) is responsible for identifying true denial root causes, designing actionable taxonomies and prevention models, and validating AI-assisted appeal generation and predictive denial approaches.

Skills & Requirements

Must-have

  • Identify denial root causes
  • Design prevention models
  • Validate AI-assisted appeal generation
  • Domain SME across revenue cycle
  • Redesign workflows and operating models
  • Build knowledge graphs
  • Test automation and AI models

Nice-to-have

  • Human touch in healthcare
  • Embrace emerging technology
  • Foster creativity and experimentation
  • Challenge the status quo
  • Customer obsession
  • Strive for excellence

Key Requirements

  • 5+ years hands-on revenue cycle experience
  • Strong end-to-end revenue cycle literacy
  • Exceptional process mapping and improvement
  • Data-driven problem solving
  • Operate effectively in ambiguity
  • Curiosity for automation, ML/AI
  • Advanced AI usage and team management

Work Rights

Not specified

Tailored Resume

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