[Remote] Financial Clearance Specialist

Note: The job is a remote job and is open to candidates in USA. Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems. The Financial Clearance Specialist role focuses on providing exceptional customer service while managing patient cost share and insurance verification prior to services being rendered.

Responsibilities

• 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

Skills

• 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
• 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

Benefits

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement
• 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.
• Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
• We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.

Company Overview