04 Sep
|
AI AGENTS
|
Bengaluru
04 Sep
AI AGENTS
Bengaluru
Healthcare RCM Copilot Agent Specialist (Associate II)Company: Ensemble Health Partners
Department: Revenue Cycle Management (RCM) / Operations
Location: Remote, India
Employment Type: Full-Time
Reports To: Manager Analytics / Director About the RoleEnsemble Health Partners is seeking a highly motivated Healthcare RCM Copilot Agent Specialist (Associate II) to drive AI-powered transformation within Revenue Cycle Management operations. This is a techno-functional role ideal for professionals with strong Healthcare RCM expertise and hands-on experience leveraging Microsoft Copilot, Copilot Studio, Power Automate, and other AI productivity tools to improve operational efficiency and business outcomes.The successful candidate will bridge healthcare revenue cycle operations and up-to-date AI technologies by designing, deploying, and governing AI-assisted workflows, Copilot agents, and business automation solutions that enhance productivity, decision-making, and process effectiveness. Key ResponsibilitiesAI &
• Automation
- Design, build, and deploy Microsoft Copilot Studio agents for healthcare RCM and executive productivity use cases.
- Develop advanced Power Automate workflows for approvals, routing, escalations, reminders, and business process orchestration.
- Configure AI-assisted workflows using Microsoft Copilot, ChatGPT, and Claude within approved governance standards.
- Establish prompting standards, validation controls, and quality review processes for AI-generated outputs.
Revenue Cycle Management
- Support and optimize revenue cycle processes including:
- Patient Access
- Eligibility Verification
- Claims Management
- Denial Management
- Appeals
- Collections
- Accounts Receivable Follow-up
- Payment Posting
- Identify automation opportunities that reduce manual effort and improve operational performance.
Knowledge Management &
• Business Enablement
- Own SharePoint knowledge architecture used by Copilot agents.
- Maintain SOPs, payer policies, process documentation, and reference libraries.
- Create executive-ready reporting and summaries using Excel, Word, PowerPoint, Outlook, and Teams.
- Train and mentor business users on AI adoption and productivity solutions.
Governance &
• Continuous Improvement
- Monitor solution effectiveness and recommend enhancements.
- Ensure compliance with privacy, security, and organizational governance standards.
- Partner with operational leaders to prioritize high-value automation initiatives.
Required Qualifications
- Bachelor’s degree in Healthcare Administration, Health Information Management, Business Administration, Commerce, Accounting &
• Finance, or related discipline.
- 3-6 years of Healthcare Revenue Cycle Management experience.
- Active CRCR Certification at the time of application.
- Hands-on experience building and deploying Microsoft Copilot Studio Agents.
- Advanced proficiency in Power Automate.
- Strong experience using Microsoft Copilot, ChatGPT, and Claude for business productivity use cases.
- Expert-level proficiency in:
- Microsoft Excel
- Word
- PowerPoint
- Outlook
- Teams
- SharePoint
- Solid stakeholder management, communication, documentation, and training skills.
- Ability to translate business requirements into scalable AI-enabled solutions.
Preferred Qualifications
- MBA, M.Com, or postgraduate qualification in Healthcare Management, Finance, Operations, or related discipline.
- CPC, RHIA, or CHFP certification.
- Experience leading AI adoption or automation initiatives.
- Strong exposure to business analytics, KPI reporting, governance, and process improvement.
- Experience mentoring analysts or associates.
- Knowledge of SharePoint information architecture and knowledge management practices.
Preferred Microsoft Certifications
- PL-200: Microsoft Power Platform Functional Consultant
- PL-400: Microsoft Power Platform Developer
- MS-600: Microsoft 365 Core Services
- MS-721: Collaboration Communications Systems Engineer
- AI-102: Azure AI Solution
- SC-900: Security, Compliance &
• Identity Fundamentals
Example Projects / Use Cases
- Executive A/R Performance Briefing Agent
- Denial Trend Analysis Agent
- Payer Policy Summary Assistant
- Appeals Prioritization Agent
- Work Queue Triage Agent
- KPI Narrative Generator
- Audit Readiness Documentation Assistant
- SOP Discovery &
• Knowledge Search Agent
Numbers of Positions:
3
📌 Engineer II, AI (Copilot Agent) (Bengaluru)
🏢 AI AGENTS
📍 Bengaluru