Senior 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:

The Financial Clearance Senior Specialist performs advanced clearance activities for complex cases and serves as a resource for escalated issues. This position ensures adherence to regulatory and payer requirements while supporting revenue cycle objectives through accurate and timely clearance and proactive financial engagement. Conducts detailed reviews of patient accounts to identify and resolve complex insurance issues. Addresses high-cost or specialized services requiring advanced knowledge of payer rules.

Collaborates with clinical and scheduling teams to address barriers impacting clearance. Provides training and guidance to less experienced team members on processes and compliance. Mentors colleagues to build expertise and supports onboarding and ongoing development initiatives. Serves as a subject matter expert for financial clearance processes and creates and updates standard operating procedures to ensure consistency and compliance. Monitors changes in payer requirements and updates internal procedures accordingly.

Prepares reports on clearance outcomes and trends for leadership review. Oversees complex point-of-service collection efforts and initiates outbound calls for high-dollar or escalated financial discussions with patients.

Join an award-winning company

Five-time winner of “Best in KLAS” , Black Book Research's Top Revenue Cycle Management Outsourcing Solution Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024

Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, Energage Top Workplaces USA Fortune Media Best Workplaces in Healthcare 2024

Monster Top Workplace for Remote Work 2024

Great Place to Work certified 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, time off, retirement, and well-being programs.

Our Culture – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.

Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.

Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.

Ensemble is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status,…