Denials Specialist

We need to output HTML fragment with sections: About the role? The posting includes description about company, mission, purpose, opportunity, etc. We need to decide sections: maybe "About the role" (overview), "Responsibilities", "Requirements", "Qualifications", "Skills", "Benefits", "Pay", "Schedule". Must include only sections with real specific content. No placeholder. We need to extract content: - About the role: description of company, mission, purpose, opportunity? Could be "About the role" includes the introductory paragraph about Ensemble, their mission, O.N.E Purpose, The Opportunity bullet list. We'll put that as prose in

. - Responsibilities: list of duties: contacting insurance plans, analyzing claims, preparing appeal materials, liaison, submitting appeals, etc. Also essential job functions list. We'll combine into

• . - Requirements: maybe "Job Experience: 1 to 3 Years Education Level: Associate’s degree or Equivalent Experience". Also "Knowledge, Skills and Abilities: 2 years of denials or accounts receivable Type 35 wpm Experience in hospital operations, chart audit/review, and provider relations Must be inquisitive and demonstrate openness to innovation including AI". We'll put these as list items. - Qualifications: maybe not separate; could combine with requirements. But we need to decide sections. Could have "Qualifications" for education/experience, "Skills" for abilities like typing speed, knowledge, etc. But we must avoid thin sections. Perhaps combine into "Requirements" covering experience, education, skills. But the instruction says prefer a few substantive sections over many thin ones. So maybe we have: About the role, Responsibilities, Requirements (includes experience, education, skills), Benefits, Pay. Schedule not mentioned, so omit. Benefits: described: "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." Also mention "Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement". Also "Recognition – quarterly and annual incentive programs". Also "Growth – professional certification, tuition reimbursement". Also "Work-Life Flexibility Leadership Purpose + Values". We'll extract substantive benefits: Bonus Incentives, Paid Certifications, Tuition Reimbursement, Comprehensive Benefits (healthcare, time off, retirement, well-being), Career Advancement, Recognition (quarterly/annual incentive), Professional development, Work-life flexibility. We'll list as
  . Pay: "This position pays between $18.65 to $25.00/hr based on experience". Also mention compensation decisions factors. We'll include Pay section with that sentence. Schedule: not mentioned, so omit. We must not repeat job title as heading. No Job ID. We must remove boilerplate: EEO, accommodation, etc. Remove equal employment opportunity, disability accommodation, etc. Also remove "This document is not an exhaustive list..." maybe keep? It's a generic disclaimer; could be considered boilerplate. The instruction: remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. That line is a disclaimer about responsibilities not exhaustive; could be considered legal boilerplate. Safer to remove. Also "Associates may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation." Remove. Also remove "Join An Award-winning Company" list of awards maybe keep as part of About the role? It's substantive about company accolades; could be included in About the role. But it's a list; we could include as
  under About the role? But we said About the role is prose; we could embed list. However instruction: Use
  • for any list of duties/requirements/benefits. Awards list is not duties/requirements/benefits; could be prose. Safer to keep as prose within About the role. We must preserve all substantive information; not invent or summarize away detail. So we need to keep the bullet list of opportunity: "Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement". That's a list; we should put under Benefits maybe as
    . Also the list of awards could be kept as prose. We need to ensure we don't duplicate lines. Let's craft HTML:

    About the role

    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! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results. The Opportunity: ENTRY LEVEL CAREER OPPORTUNITY OFFERING: Bonus Incentives, Paid Certifications, Tuition Reimbursement, Comprehensive Benefits, Career Advancement. This position pays between $18.65 to $25.00/hr based on experience.

    But we separated Pay later; maybe keep Pay separate. However we included pay in About the role; but we also need a Pay section. To avoid duplication, we could keep pay only in Pay section and not repeat. Let's move pay details to Pay section. Thus About the role excludes pay. Now Responsibilities:

    Responsibilities

    • Contact insurance plans to determine reasons claims were denied
    • Analyze claims and determine if appeal is necessary
    • Prepare appeal materials which may include correcting and resubmitting claims, gathering additional information, including reviews of medical records
    • Act as a liaison between healthcare providers for any additional medical documentation or clarification
    • Submit appeals in a timely manner
    • Analyze claims, remittances, denial letters, and contact payers to effectively determine root causes for denials and steps to resolution
    • Knowledgeable in Revenue Cycle terminology and processes; able to effectively triage denials for appropriate actions to be taken
    • Meets quality and productivity standards - able to accurately type, format, and draft appeal letters
    Note some duplication: we have similar items; we can combine but keep all. Now Requirements (including experience, education, skills):

    Requirements

    • 1 to 3 years of relevant experience
    • Associate’s degree or equivalent experience
    • 2 years of denials or accounts receivable experience
    • Typing speed of 35 wpm
    • Experience in hospital operations, chart audit/review, and provider relations
    • Inquisitive and demonstrates openness to innovation including AI to explore better processes and alleviate friction
    Now Benefits:

    Benefits

    • Bonus Incentives
    • Paid Certifications
    • Tuition Reimbursement
    • Comprehensive benefits package including healthcare, time off, retirement, and well-being programs
    • Career advancement opportunities
    • Recognition through quarterly and annual incentive programs
    • Professional development (earn a professional certification relevant to field)
    • Work‑life flexibility
    Pay:

    Pay

    This position pays between $18.65 and $25.00 per hour, based on experience.

    We should not include Schedule. Check for any duplicated content: We have "Bonus Incentives", "Paid Certifications", "Tuition Reimbursement", "Comprehensive Benefits", "Career Advancement" in Benefits; we also listed them in About the role? We removed from About the role. Good. Check for any leftover boilerplate: We removed EEO, accommodation, etc. Also removed "This document is not an exhaustive list..." and "Associates may be required to perform other job-related duties...". Also removed "Join An Award-winning Company" list? We didn't include awards list. Should we keep it? It's substantive about company accolades. Could be included in About the role as prose. Let's add a sentence: "Ensemble is a five‑time winner of “Best in KLAS” (2020‑2022, 2024‑2025), Black Book Research's Top Revenue Cycle Management Outsourcing Solution (2021‑2024), recipient of 22 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 Revenue Cycle Awards (2020, 2022‑2023), Energage Top Workplaces USA (2022‑2024), Fortune Media Best Workplaces in Healthcare (2024), Monster Top Workplace for Remote Work (2024), and Great Place to Work certified (2023‑2024)." That's a lot but we need to preserve all substantive information. It's not a list of duties/requirements/benefits, but we can include as prose. Add to About the role paragraph. Now ensure we didn't miss any substantive info: The O.N.E Purpose bullet points we included as sentences. The Opportunity bullet list we moved to Benefits; we kept the phrase "ENTRY LEVEL CAREER OPPORTUNITY OFFERING:" maybe we can incorporate into About the role as "Entry level career opportunity offering:" but we moved the list to Benefits. Could keep phrase in About the role: "The Opportunity: Entry level career opportunity offering:" then list moved. Might be okay. We also have "The Denials Specialist is responsible for clinically related claim denials across Ensemble Health Partners." That's a responsibility; we could add to Responsibilities list as first item. Add: "The Denials Specialist is responsible for clinically related claim denials across Ensemble Health Partners." Now check for any other details: "Job duties include, but are not limited to, contacting insurance plans to determine reasons claims were denied, analyzing the claims and determining if appeal is necessary, preparing the appeal materials which may include correcting and resubmitting claims, gathering additional information, including reviews of medical records, acting as a liaison between healthcare providers for any additional medical documentation or clarification and submitting appeals in a timely manner." Already covered. Essential Job Functions list we captured. Knowledge, Skills and Abilities: we captured. Now ensure we didn't include any boilerplate like "Due to business, operational, payroll, and regulatory requirements, this position is limited to individuals who reside and are authorized to work within the United States." That's a legal requirement; could be considered boilerplate but it's substantive eligibility. The instruction says remove legal/EEO/equal-opportunity/scam-warning boilerplate. This is a legal requirement about work authorization; might be considered boilerplate. Safer to remove. Also remove "Applications generated from outside the United States will not be considered." etc. Also remove "Ensemble provides reasonable accommodations..." etc. Also remove "If you require accommodation in the application process, please contact TA@ensemblehp.com." Also remove "This posting addresses state specific requirements to provide pay transparency." etc. Also remove "Employment Disclaimers – Ensemble". So we removed those. Now final HTML fragment. Check for any missing info: The "Comprehensive Benefits" phrase appears both as a benefit