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Virtual Utilization Review Specialist at Ensemble - ApplyBlast

Virtual Utilization Review Specialist

Ensemble

9 months ago

4.0 on Glassdoor

Remote

Full Time

Medior

0 applicants

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About this role

A Virtual Utilization Review Specialist at Ensemble Health Partners conducts remote clinical reviews to support hospital revenue cycle operations, ensuring appropriate use of healthcare resources and adherence to payer medical necessity criteria. The role supports financial clearance and appeals processes while collaborating with clinical teams, physician advisors, and payors to maintain hospital financial health and quality outcomes.

Skills

Qualifications

Bachelor's DegreeLPN LicenseRN LicenseRN Compact License (preferred)

About Ensemble

ensemblehp.com

Headquarters

Cincinnati, Ohio, United States

Company Size

10001+ employees

Founded

2014

View Profile

Ensemble Health Partners is a revenue cycle management company that partners with hospitals, health systems and physician practices to optimize financial performance. They deliver end-to-end RCM services—patient access, coding and clinical documentation improvement, billing and collections, denials management and revenue integrity—backed by analytics and consulting. Ensemble combines operational teams and technology-enabled insights to accelerate cash flow, reduce write-offs, and improve patient financial engagement.