Financial Clearance Associate Specialist

About the role

A Financial Clearance Specialist is a vital member of the healthcare team, responsible for providing world-class customer service while helping ensure patients are financially cleared prior to scheduled services. This role verifies insurance coverage and benefits, confirms financial responsibility, and supports timely documentation and communication to help patients understand expected costs and reduce delays in care.

Responsibilities

• Provide world-class customer service while following scripted benefit verification in the HIS benefits screen.
• Update accounts in the workflow system with timely, accurate documentation.
• Select accurate medical records to support patient safety and schedule appropriate procedures based on physician orders.
• Assign insurance plans accurately and perform electronic eligibility confirmation; document results in the appropriate systems.
• Calculate patient cost share/liability and attempt to collect by phone within 48 hours of the date of service.
• Use appropriate systems to facilitate communication with hospital gatekeepers and document account activity and collections notes as required.
• Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.

Requirements

• High School Diploma required; Associate's degree preferred.
• 1-2 years of healthcare experience preferred.
• Understanding of admissions, billing, payments, and denials.
• Comprehensive knowledge of the patient insurance process, including obtaining authorizations and benefits verification.
• Knowledge of medical terminology and CPT/procedure codes.
• Patient Access experience with managed care/insurance and call center experience highly preferred.
• Articulate, personable, dependable, and confident with excellent communication skills.
• Customer service oriented; builds trust and respect by exceeding customer expectations.
• Pay Range: Starting at $17.00 up to $18.65 per hour (based on experience)
• Work Environment
• This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require.
• Join an award-winning company
• Five-time winner of "Best in KLAS" 2020-2022, 2024-2025
• Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024
• 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024
• Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024
• Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023
• Energage Top Workplaces USA 2022-2024
• Fortune Media Best Workplaces in Healthcare 2024
• Monster Top Workplace for Remote Work 2024
• Great Place to Work certified 2023-2024
• Innovation
• Work-Life Flexibility
• Leadership
• Purpose + Values
• Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:
• Associate Benefits - We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare

Benefits

Additional Information

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: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for Excellence: Execute at a high level by demonstrating our "Best in KLAS" Ensemble Difference Principles and consistently delivering outstanding results.

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