patient access specialist

accounts receivable clerk

records specialist

patient access supervisor

financial specialist

Ensemble Health Partners

A typical day at work would be registering patients, depending on the department was back to back, nonstop people.  Sometimes you’d get a break between patients. It got overstimulating at times when we  were short staffed. We were to help with finding orders and work queues between patients. 

I learned a lot, in a very short time. The job is repetitive.  Supervisors/Mangmnt and coworkers are very supportive to help if you need it. In turn, you become supportive to others needing help. 
Workplace culture is TOP notch. I resonate with everything Ensemble believes in. People first, last and always. Ensemble has great values, I follow a similar path in my own life. 

The hardest part of the job is the constant swinging door, the turnover is terrible.  I believe after an EMTALA rule change, we were pressured and assigned so many people to cold call and collect in a day. Then document it.  This created anxiety within a good portion of our team.  While the patient is in front of you is what we were used to regarding collecting.  I know Ensemble is a revenue Company, but the supervisor/management became so focused on collecting. They might have had pressure on them as well. 

The micromanaging is what brought me over the edge. There would be a new requirement, we get used to that, then more is added and so on.  Ridiculous rules to where you can’t have your phone anywhere near you. Do you have kids? Partners with health issues?  Our team was there to work, not play on our phones. It would have been nice to have my phone nearby for emergencies. I had a situation where I had a child in the ED. I didn't know until hours later.  No coffee on the desk, no personalizing your own  monitor screen. Watching, tracking our registrations, our conversations on Teams. Not being able to use our PTO 
 ( I was told, it’s not fair to your coworkers to take this time off) and we weren't able to buy back the  PTO that we earned. 
 I don’t like how I left, but I couldn’t take another day. It affected me physically and mentally. I miss my work family and the higher management. I won’t be eligible to work for Ensemble again, I accept that. 

The most enjoyable part of my job was helping people. I loved supporting my team from behind the scenes to make their day go smoother.  Working in a busy hospital, it would be bustling the moment you get there until the time you leave.  I also loved interacting with the  people I registered. It got overstimulating at times, there are all walks of life and personalities coming to the hospital.  Having gaps between patients helped, it meant that I could recharge. 

People come to the hospital for some alarming tests.  You never know what people are going through. Just.Be.Kind.

Ensemble is a good company to work for, supervisors/management at the hospital I worked at are always striving to better themselves and their team. Perhaps this review will be taken into consideration for future recommendations. 


• Management began canceling both morning and afternoon breaks due to high call volume. I understand that it is important that calls are handled, however, call center burnout is a common phenomenon and Ensemble has the motto of "People First, Last, and Always" but these practices do not support that value. We were treated as robots and just a number. As soon as this started happening I knew I would not be staying. 

• If you do not have a medical background you will struggle with the position of scheduler. Even with my heavy medical background I struggled with being able to answer patient's questions regarding their procedure and would usually direct them to their PCP. It's also a lot to remember as far as what blood work a patient may need prior to a procedure which seems like something the ordering physician should be responsible for knowing rather than a scheduler. 

• Pay is far below industry standard. It is also not taken into consideration that the role of Scheduler is 5 job functions in one- scheduling, registration, collections, physician liaison, and orders management. 

• If you schedule for the Cincinnati market it can be overwhelming with the number of facilities that each have their own way of handling things (5 hospitals, 23 imaging centers). It's a constant game of trying to figure things out and it seems to differ depending on who you ask.

• The company is hiring more agents but there are not enough supervisors to monitor the chat in an effective manner. If you are stuck on how to do/handle something it can take anywhere from 5-20 minutes for a question to be answered in the chat, which isn't helpful with patients waiting on the line.

• No room for growth, it is a call center job. Even if you apply to be a SMART there is no pay increase. 

• IT struggles to handle issues and Ensemble IT and Mercy IT like to pass the baton and you end up going in circles.

Treat your employees as people or automate the process for scheduling entirely. Breaks are a necessity when you have the expectation of 55 calls per day. Burnout will be the downfall of the entire department. 

Before I left there was talks of having Cincinnati agents cross train to help with other markets. It makes zero sense to do this when the Cincinnati market is so busy that you have to take away both morning and afternoon breaks.

The work environment as in the facility is very neat. It reminds me of movies and tv shows that show the offices with lots of cool stuff. Almost like a mini google. Coworkers are friendly and some leadership is friendly as well when talking and conversing about everyday life not work related topics. There are a lot of changes everyday in the company. Some changes are good and other changes not so much. Processes and procedures seem to change everyday based on how that manger is feeling or that department director is feeling. Organization is not very good and at times I feel there is no clear direction on what needs to be done other than get money for our clients. Leadership needs more training on leading and not managing. Ensemble prides its self on associates coming first but it always seems we are not first. I believe the company has the right mindset and speaks on what they truly believe but what they say and believe does correlate to the actions they do. There is not enough taking accountability and more defending with look at all the awards we have and how many happy associates are happy working here. We are told we have different avenues to express ourselves but it starts with our direct leadership who says they will look into it but it feels as if they have a file that reads " They will look into it " but never gets worked. The other avenues as in the E-mails and phone numbers just never get a response back. To show the disconnect of what the company says and what really is happing is this review. During a meeting we were told because of how Ensemble handled the COVID19 pandemic and did not fire or furlough its employees to please go out and write a review for the company but try to keep it as good reviews and if you have any issues to please reach out via one of the many avenues. From what upper leadership speaks and believe is not happening on the associate level with managers and supervisor and the company needs to step back and truly listen to its associates and do some self reflecting and realign with what they believe and say. The company is moving forwarded and setting the standard of Revenue Cycle which is fantastic. I do like working here and feel I have room to grow but there are changes that need to be made an accountability on a leadership level that needs to be looked at.

Ensemble is an excellent place to work if you are willing to learn a lot constantly, adjust to changes, challenges, and more intricacies the healthcare revenue cycle field faces daily. We make a huge difference for clients, patients, and the overall healthcare system in the US. The work goes beyond dollar amounts, patient satisfaction, and improving quality. 

The skill sets and career knowledge collectively varies, but if you are willing to train, be coachable, and not afraid to communicate, have an open mind, 

There are so many departments in the Revenue Cycle, such as pre/patient access, health information management, revenue integrity, payment integrity, accounts/receivable, customer service, analytics, client delivery, and beyond as well the operations of the sophisticated services Ensemble provides and how they operate such a intricate business. The company has a relatively newer, but evolving highly visible uniquely crafted leader in training program (to groom future leaders in the company), many growth opportunities for promotion, and subject matter experts. 

The workplace can be fun with various activities, informational sessions, a creative work environment designed to inspire, leaders who value people, and personality. It is one of the most diverse and vibrant places to work nationally in the revenue cycle aspect of healthcare.  We support clients in a wide diverse region all over the US and growing fast.

No typical day is the same. Our large corporate campus in Blue Ash, Ohio is amazing perhaps one of the best office environments in the region and nationally, and the client sites are decent as well at health care facilities and business offices embracing our Ensemble culture.  The work culture is phenomenal and the company is doing a lot of attract the right type of talent and leadership.  

We have very hands on senior leadership as well as empowered leaders and associates throughout the organization.  Highly motivated leaders, transformative leaders, and well rounded individuals driven with purpose embedded with Ensemble's vision and culture can thrive.

Worst company I ever worked for. If your health care facility outsources you to Ensemble...RUN! This company has no organizational structure. They tell you from day one - ask questions. Problems are, you get different answers for the same question. No one seems to know what to do especially with training. The training should be in depth with examples and access to the programs before they show you so that you can follow along and ask pertinent questions to understanding the job. Trainings were out of a program that some of us never had access to and was told that it would translate to the program we did have access to...it didn't translate but we were still expected to succeed with the programs that we did have access to. MICRO-MANAGEMENT - they control everything you do every second of your 8 hours. You get in trouble if you don't take a lunch break, that you have to punch out for, but get in trouble for not meeting productivity/metrics as well. There are not enough hours in the day to meet your metrics but are subjected to several meetings throughout the day that could have been an email. Mandatory meetings that leave you confused on new programs that you don't have access to and not allowed to ask questions regarding the programs - just informational meetings about said program. Once you have access you can't go back and look at the meetings to refresh your memory of what they showed you. They expect so much without proper training. Unattainable quotas. If you don't meet your quotas, you get told to "work faster." Lack of recognition once you do meet your goals - your reward is that they dump a new client on you with absolutely no training. You're expected to meet productivity/metric goals even when you don't have enough work provided to you - they count it against you and tell you that your work performance is poor. There is no winning/succeeding with this company. Immediate management felt the same and tried a lot to help us meet quotas, but the lack of training also came from immediate management. I never felt valued by the company. No room for mistakes. The job destroyed my self-esteem. #'s are more important than people. Overwhelming and mentally draining. Not conducive to mental health. They set you up to fail and then blame you for failing.

During my time at Ensemble, I had the privilege of working with an exceptional team and a direct leader who fostered a collaborative and hardworking environment. Together, we were committed to achieving high standards in coding and production, consistently striving to meet company goals.  

However, despite the dedication of our team, significant challenges arose due to staffing shortages. For over two years, repeated requests for additional support were made to alleviate excessive overtime and prevent employee burnout. While data clearly demonstrated the necessity for more resources, the delayed response led to the loss of talented coders and an overwhelming workload, all while new clients continued to be added without adequate staffing.  

Additionally, favoritism within upper leadership created barriers to fair opportunities and professional growth. Employees who did not align perfectly with leadership expectations often faced unjust scrutiny, rather than being evaluated on their individual performance and contributions. While the company emphasizes high performance, true leadership should recognize and support all high-performing individuals, fostering an environment of trust, collaboration, and respect.  

Compensation remains below industry standards given the level of responsibility and workload. Leadership roles often require extensive overtime, with minimal work-life balance. Even vacation time lacks true separation from work responsibilities, making it difficult to disconnect. Furthermore, company policies discourage multitasking during meetings, increasing weekly working hours significantly.  

While my experience with my team was highly positive, I hope to see improvements in leadership practices, resource planning, and employee support in the future. A truly successful organization thrives when it invests in its people and ensures a sustainable work environment for all.  

I've never worked with a company whose upper leadership was so straight forward and humble.  The leadership that has not only helped inspire me but has instilled a constant feeling of being a part of something that matters.  I have had an amazing journey thus far with Ensemble, and it is only getting bigger from here on out.  The leadership yearns for negative feedback so that issue's can be fixed, while embracing the positives received by associates and others.  Communication really is key here, and as an employee I feel empowered every day to make my voice known.  Our core values as ensemble are expressed each and every day, and I even see these in my day to day life.

People First, Last, Always.
I've not felt as if anyone at ensemble, management included, has disrespected me, and has always had the mindset of togetherness.  It truly is a family oriented company.  People are our #1 asset, and it really does show.

All For One & One For All.
Transparency is a key factor for teamwork, and leadership communicates with us as often as they can.  Every voice and opinion matters.  Especially those that have separate viewpoints.

Your Responsibility Extends Beyond Your Job Description
From Top to bottom, all voices matter.  Even if your job description doesn't say CEO for example, it doesn't mean that your idea's do not matter.  EVERY voice matters, and Ensemble gives plenty of avenues to discuss our opinions.

Developing You Makes Us Better
Ensemble is invested in us.  We are encouraged to share and celebrate great ideas, innovations and fixes no matter the size.  They invest in us, because that is what Ensemble is.

Don't accept complacency.
Keep the bar moving.  Never settle, and never get settled.  Embrace change.  This even counts to our leadership.

I cannot express enough that the leadership is open eared to all suggestions and proactively work towards that ever moving "Perfect" bar.  It has been a blessing to be part of a company like this so far, and I cannot wait to see what the future brings me.

I AM the Ensemble Difference.

The positions at this company are entry-level or management, there is nothing in between.  There are "senior" entry-level positions and SMART trainers, but the positions don't pay any more than entry-level.  My current supervisor does her best at managing the team but I think the managers above her aren't listening to what she is saying and problems with processes don't get resolved in a timely manner.  The workplace culture is thick with bias and favoritism and the internal promotions go to the employees who aren't the most qualified but are "managers of people".  This absolutely destroys the morale of the team, because the team knows that the promoted individual was not the best person for the position.  The hardest part of the job is trying to bite your tongue when you see the wrong people getting promoted.  Have to give kudos to Ensemble for getting us home within 2 days when the pandemic started.  BUT, we had been trying to get to work from home for several months prior to the pandemic and management said it couldn't be done (so much for thinking "out of the box").  Only those "selected few" employees got the opportunity to work from home based on their relationship with their immediate manager.  There is no "most enjoyable part of the job".  Some employees are "locked" into their employment with Ensemble because of tuition reimbursement contracts.  Thankful to have tuition reimbursement but there are limited job opportunities to move into once the education is completed.  And sure the president of the company states to address the issues with her but that goes nowhere as well as she assumes you are just complaining about non-existent issues.  The only people happy at Ensemble are the people in positions such as Manager, Director and higher because they get paid more than entry level positions.

Pros 

Having worked for Mercy Health in the ED as a financial counselor I fell in love with the opportunity to be part of a not for profit organization.  I was fortunate to identify my just cause of maximizing the revenue cycle in my 20 sq feet so Mercy could take care of the poor and undeserved in the communities we provide service.  Being with nurses and doctors everyday inspired me to my absolute best each day so they could utilize the talents God gave them to heal people.  I believe Ensemble has done more to maximize that cause by taking on the revenue cycle processes for Mercy as well as many other health systems. One benefit is that I am surrounded by the most talented individuals in revenue cycle from across the country.  This also means I have a large group of worthy adversaries that I have a deep level of respect and challenge me on a regular basis to fail forward.  We don’t always agree on what should be done but at the end of the day we feel safe to push our ideas knowing that the result will add value to the revenue cycle and produce the results that are expected.   My leaders have always been open and honest with me.  Focusing on work/life balance and allowing me to never miss a minute of my family’s activities.  I am blessed to be given the autonomy to run my department and that I can operate at my natural best.   

Cons

Ensemble is not perfect.  But I truly believe that although there are issues, I wouldn’t be able to go home feeling the same fulfillment anywhere else.  The amount of community benefit we are bringing across the nation by maximizing reimbursement for hospital systems is unparallel in our space and our leaders focus on the future both short term and long term is felt daily.    Example of the short term is the new building we are moving into over the next few months and the long term is felt by the large number of assessments we are doing across the country.

When I interviewed with Ensemble, they did a great job of showing me why I wanted to work here. In my humble opinion, Ensemble is an excellent place to work. I am thankful that I was blessed with the opportunity to work for this organization. The very thing that makes Ensemble shine is the culture and the passion of the staff. This passion and drive can be found at the most entry level positions all the way to the CEO. I can speak from experience that this is not something very common in healthcare. I have worked in several facets of healthcare and revenue cycle. I have worked on the payer side, the provider side, the clearinghouse side, and the billing software side. For the first time in my career, I feel like I am in the right place. I feel that I am in a place that I can grow with the support of leadership. My direct leaders as well as the organization's leaders are among the most supportive that I have ever had the pleasure to work with. They are passionate about what they do but they are just as passionate about their associates as well. They pride themselves on hiring quality talent that grow within the company. They are very dedicated to growing leadership from within and that speaks volumes about the character of our leadership. I feel at home here and I feel inspired and motivated as opposed to being stressed out. Since I came to Ensemble, I am happier than I have ever been in my career. I don’t complain about work; I don’t dread coming to work. It's a great environment with a tremendous amount of talent. I am especially proud of my team and my department as they are some of the most talented staff I have ever had the privilege of working with. I came here with the expectation that I would be supported and encouraged to not only grow as an employee, but as a person as well.

Top Job Titles	Average Salary
Patient access specialist 314 salaries reported	$17.65 per hour
Accounts receivable clerk 2 salaries reported	$91,100 per year
Records specialist 27 salaries reported	$16.36 per hour
Patient access supervisor 27 salaries reported	$53,106 per year
Financial specialist 21 salaries reported	$18.92 per hour

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