Financial Clearance Associate Specialist

Ensemble Health Partners; United States; Remote; USD 23,000 - 26,000; Full time

Benefits offered by this job

Competitive compensation

Wellness program

Tuition reimbursement and CEUs

Growth opportunities

Recognition programs

Job summary

Ensemble Health Partners is seeking a Financial Clearance Specialist for a remote role. You will verify insurance coverage, confirm financial responsibility, and communicate expected costs to patients to minimize delays in care.

Responsibilities include benefit verification, documenting workflow updates, scheduling procedures, and collecting cost shares within 48 hours. Remote work is available with occasional onsite travel as needed.

Qualifications

• High school diploma required; associate degree preferred.
• 1–2 years of healthcare experience preferred.
• Knowledge of admissions, billing, payments and denials.
• Comprehensive knowledge of the patient insurance process, including 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.

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.

Skills

Healthcare experience

Admissions & billing knowledge

Insurance verification

CPT/procedure codes knowledge

Medical terminology knowledge

Customer service oriented

Excellent communication skills

Education

High School Diploma

Associate’s degree

Job description

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

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.

Key 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.

Benefits

• Competitive compensation and benefits packages that reflect a commitment to fair and just workplaces.
• Wellness programming designed to support associate health, including a comprehensive annual health risk assessment.
• A participatory culture that strengthens diversity and inclusion.
• Growth opportunities, including traditional and online learning, tuition reimbursement, and coaching to support skill development, degrees, certifications, and CEUs.
• Recognition programs, including service awards, celebrations, and personal appreciation, plus annual associate surveys to identify opportunities for improvement.

Qualifications

• 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, 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, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble also prohibits harassment of applicants or employees based on any of these protected categories.

Ensemble provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact [e-mail].

This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role’s range.

Employment Disclaimers – Ensemble