Many healthcare leaders assume billing fraud is rare. But what happens when you start looking closely? In our latest Healthcare Intelligence episode,@ Nyleen Flores, shares what her team has uncovered after reviewing healthcare organizations across the country. The conversation explores the gap between what healthcare leaders think is happening and what is actually happening behind the scenes. A thought-provoking discussion on oversight, accountability, compliance, and the realities of healthcare operations. Full episode below.
Ember AI
Hospitals and Health Care
Burlingame, California 2,171 followers
Built for healthcare teams to improve coding, reduce denials, and recover missed revenue faster.
About us
Healthcare revenue cycle has become too complex to manage manually. Payer rules change constantly, claims are reviewed after submission, and teams spend more time fixing issues than preventing them. Most organizations do not lack data. They lack a way to act on it in time. By the time denials and underpayments appear in reports, revenue is already lost and teams are forced into reactive cleanup. Ember is an AI platform built to prevent revenue leakage before it happens. We analyze claims, payer behavior, and policy changes in real time, helping revenue cycle teams catch issues earlier and apply the right rules before claims go out the door. With Ember, teams spend less time on manual audits and rework, and more time improving accuracy, speed, and financial performance. We work with health systems, physician groups, and PE backed organizations across the United States. Our goal is simple. Help revenue cycle teams operate proactively so leaders can grow with confidence.
- Website
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https://www.embercopilot.ai
External link for Ember AI
- Industry
- Hospitals and Health Care
- Company size
- 11-50 employees
- Headquarters
- Burlingame, California
- Type
- Privately Held
- Founded
- 2022
Employees at Ember AI
Locations
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Primary
Get directions
330 Primrose Rd
Ste 301
Burlingame, California 94010, US
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Get directions
330 Primrose Rd
Ste 301
Burlingame, California 94010, US
Updates
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Healthcare organizations manage billions of dollars in revenue, complex payer relationships, and thousands of providers. So why are some critical processes still being managed in spreadsheets? In our latest Healthcare Intelligence episode, @Nyleen Flores, shares her perspective on one of healthcare's most overlooked operational challenges: provider enrollment. The conversation explores why this process remains so difficult to manage, where organizations commonly struggle, and what the downstream impact can be on operations and revenue. A fascinating look at a problem many healthcare leaders know exists, but few talk about openly. Full episode below.
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When people talk about healthcare operations, they usually focus on efficiency, revenue, and growth. Nyleen Flores, BA, FMSP, CPMSM, CPCS, CPES, CPCO, CASC sees it differently. In the latest Healthcare Intelligence episode, we explored how some of the most important work in healthcare happens behind the scenes, and why getting those fundamentals right can have an enormous impact on both patients and organizations. This conversation challenged a lot of common assumptions about where healthcare risk actually comes from. Worth a listen for anyone involved in healthcare leadership, compliance, revenue cycle, medical staff services, or operations. Full episode below.
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We’re excited to welcome Vanshith Bhandari to Ember as our new Strategy & Operations team member. Vanshith brings a strong mix of product thinking, strategy, and operational curiosity. Over the past few months working with the team, he’s already helped drive projects across AI workflows, healthcare operations, and internal systems that support how we scale. As Ember continues building AI-powered automation for healthcare revenue integrity and compliance, we’re excited to have people who move fast, ask thoughtful questions, and care deeply about solving real operational problems. Welcome to the team, Vanshith! Excited for what’s ahead. #HealthcareAI #RevenueCycleManagement #AI #HealthTech
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Hospitals are under more financial pressure than most people realize. Costs keep rising across the board, staffing, operations, technology, while reimbursement rates have stayed relatively flat for years. That gap is forcing health systems to rethink how they operate, where they invest, and how they improve efficiency without adding even more burden to already stretched teams. Had a really interesting conversation with Dr. Kevin Stevenson, FACHE on the financial realities many healthcare organizations are dealing with right now, and where healthcare operations may be heading next. Watch the full episode of Healthcare Intelligence with Dr. Kevin Stevenson. Link in comment.
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The Ember team is at HealthEx this week, meeting with healthcare leaders focused on one big question: How do we recover revenue that healthcare organizations already earned? A lot of conversations around AI are still very broad. But for the revenue cycle, the problems could be very specific, and that’s where the Ember team is spending our time. If you’re at HealthEx, let's connect and have some amazing conversations. Message us if you’d like to see how organizations are using Ember to improve revenue integrity without changing their existing workflows.
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“Who do you think is leading innovation in AI and technology?” Dr. Kevin Stevenson’s answer was immediate: “The payers.” That part of our conversation stuck with me. Payers are moving fast on automation, efficiency, and AI adoption. And whether providers like it or not, that pressure eventually flows downstream to health systems, physician groups, and revenue cycle teams. The healthcare AI conversation is often focused on what’s possible. This episode focused more on what’s already happening. A really interesting discussion on where healthcare is heading, who’s driving change, and what providers should be paying attention to right now. Watch the full episode of Healthcare Intelligence with Dr. Kevin Stevenson, FACHE. Link in comment.
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Day 2 at the American Alliance of Orthopaedic Executives (AAOE) 2026 Conference. We’re at booth 425. If you’re walking the floor, come by and say hi or grab a cookie. They’re actually pretty good.
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Ember is at the American Alliance of Orthopaedic Executives (AAOE) Annual Conference in Louisville, KY, this week. Stop by booth #425 if you’re around. Always good to meet in person. Also, we’ve been told Hot Brown is a must. Where should we go so we don’t get it wrong? Taking expert advice.
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