Financial Clearance Specialist

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.

The Opportunity:

CAREER OPPORTUNITY OFFERING:

Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $17.00 - $18.65/hr based on experience

Job Summary:

The Financial Clearance Specialist provides world-class customer service while exceeding expectations of scheduled patients for cost share/liabilities prior to the date of service.

Essential Job Functions:

Provides world-class customer service and follows scripted benefit verification format in HIS benefits screen and updates accounts in workflow system with accurate documentation.

Selects accurate medical records for patient safety and schedules appropriate procedures based on physician orders

Assigns insurance plans accurately, performs electronic eligibility confirmation and documents results, calculates patient cost share/liability and attempts to collect via phone within 48 hours of the date of service.

Utilizes appropriate systems to facilitate communication with hospital gatekeepers, utilizes health information system account and collects documentation as appropriate.

Meet performance expectations within 90 days from the date of hire. These goals are set on a daily individual as well as a team basis to support achievement of 2% of Net Patient Revenue. Call score averages of 95% must be met daily, weekly, and monthly to ensure a high level of customer service.

This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Associates may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.

Preferred

Knowledge, Skills and Abilities:

2 Year/ Associates Degree Minimum of 2 years working in a call center with collection experience.

Articulate, personable, dependable and confident with excellent communication skills.

Is Customer service oriented, builds trust and respect by exceeding customer expectations.

Types 45 WPM and is proficient in multiple computer applications.

Supports and follows organizational policies and procedures.

Medical/insurance background; knowledge of MS Office programs

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.

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” , Black Book…