Director, Billing

Thank you for considering a career at Ensemble!

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:

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Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.

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Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.

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Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.

The Opportunity:

At Ensemble Health Partners , we are redefining how billing operations support financial performance and client success. We are seeking an innovative and strategic Director, Billing Optimization to lead initiatives focused on reducing denials, improving cash collections, decreasing unbilled days, and transforming billing operations across a complex multi-client environment.

This role offers a unique opportunity to build optimization strategies from the ground up while influencing enterprise-wide change. The Director will partner with leaders across Revenue Cycle, Revenue Integrity, Front-End Operations, and Denials Management to identify root causes, implement solutions, and drive measurable operational improvements. *This position will require business travel, up to 25% , within market.
Key Responsibilities

- Lead analysis of denials, rejections, and claim edits to identify trends, root causes, and improvement opportunities.

- Develop and implement innovative solutions that improve billing performance and operational efficiency.

- Drive enterprise-wide optimization initiatives aimed at reducing unbilled days and accelerating cash collections.

- Present findings, recommendations, and process improvement strategies to executive and operational leaders.

- Partner with stakeholders across Revenue Cycle Operations, Revenue Integrity, Denials Management, and Client-Facing teams.

- Build scalable workflows and operational frameworks that support long-term business growth.

- Lead and develop a growing team while fostering accountability, engagement, and continuous improvement.

- Serve as a strategic thought partner in shaping the future state of billing operations across multiple clients and markets.

- Balance hands-on analytical work with strategic leadership responsibilities in a fast-paced healthcare environment.

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Required Qualifications

- Bachelor’s degree or equivalent work experience

- 3 + years of leadership experience within healthcare revenue cycle operations

- 3+ years of Patient Access experience in a hospital or large health systems

- Strong expertise in identifying root causes and developing actionable solutions to complex operational challenges.

- Experience across multiple functional areas of the revenue cycle.

- Demonstrated success driving process improvement and operational optimization initiatives.

- Advanced critical thinking and analytical problem-solving abilities.

- Strong communication and presentation skills with the ability to influence stakeholders at all levels.

- Intermediate to advanced Microsoft Excel skills.

- Proven ability to thrive in a dynamic, fast-paced, multi-client environment.

- Adaptability, curiosity, and a willingness to challenge traditional approaches to achieve better outcomes.

- Experience with Ep