Senior Denials Prevention Process Improvement Advisor

The Senior Denials Prevention Process Improvement Advisor serves as a subject matter expert and strategic partner in reducing clinical and technical denials across the revenue cycle by driving root cause analysis and implementing sustainable process enhancements. This role focuses on identifying denial trends, collaborating with operational leaders and payer relations teams, and designing preventive strategies that improve first-pass yield and reduce rework.   Key responsibilities:   • Conducting data-driven assessments of denial drivers, developing and deploying best practices, facilitating cross-functional workshops, and monitoring the effectiveness of implemented solutions through KPIs such as denial rate reduction and appeal avoidance. • The Senior Advisor also partners with IT and compliance teams to optimize workflows and ensure adherence to regulatory and contractual requirements. • Requires advanced analytical skills, deep knowledge of payer policies and revenue cycle operations, and the ability to influence stakeholders to achieve measurable improvements in financial performance and client satisfaction.   Required experience: • Associate degree; 2 to 5 years of relevant experience. • Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences. • 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. Desired experience: • Experience in healthcare or technology operations preferred. Join an award-winning company Five-time winner of “Best in KLAS” 2020-2022, 2024-2025 Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024 Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024 Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023 Energage Top Workplaces USA 2022-2024 Fortune Media Best Workplaces in Healthcare 2024 Monster Top Workplace for Remote Work 2024 Great Place to Work certified 2023-2024 • Innovation • Work-Life Flexibility • Leadership • Purpose + Values Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include: • Associate Benefits –  We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.  • Our Culture – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.   • Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.  • Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.