Financial Clearance Specialist

Ensemble Health Partners; Atlanta (GA); Hybride; USD 23 000 - 26 000; Plein temps

Avantages offerts par ce poste

Bonus Incentives

Paid Certifications

Tuition Reimbursement

Comprehensive Benefits

Career Advancement

Résumé du poste

Ensemble Health Partners is seeking a Financial Clearance Specialist to deliver world-class customer service and verify benefits for patient cost shares and liabilities prior to the date of service.

The role is remote, with travel to client sites or corporate offices as needed. Target metrics include 2% of Net Patient Revenue and 95% call scores, with hourly pay between $17.00 and $18.65 based on experience.

Qualifications

• Minimum 2 years in a call center with collection experience.
• Articulate, personable, dependable with excellent communication skills.
• Customer-service oriented, exceeding customer expectations.
• Types 45 WPM and proficient in multiple computer applications.
• Knowledge of MS Office programs.
• Willing to adopt innovative processes including AI.

Responsabilités

• Provide world-class customer service and verify benefits using HIS benefits screen and update accounts in workflow system with accurate documentation.
• Select accurate medical records for patient safety and schedule appropriate procedures based on physician orders.
• Assign insurance plans, perform electronic eligibility confirmation, document results, and collect patient cost share/liability within 48 hours of the date of service.
• Utilize hospital systems to facilitate communication with gatekeepers and collect documentation as appropriate.
• Meet performance targets: 2% of Net Patient Revenue; call score averages of 95% daily, weekly, and monthly.

Connaissances

Customer service

Benefit verification

Call center

Typing 45 WPM

MS Office

Communication

Adaptability

AI curiosity

Outils

Workflow system

MS Office

Description du poste

Job Summary

The position pays between $17.00 - $18.65/hr based on experience.

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

• Minimum 2 years working in a call center with collection experience.
• Articulate, personable, dependable and confident with excellent communication skills.
• 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.

Benefits & Perks

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement

Location & Remote Work

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.

Awards and Recognition

• Five-time winner of "Best in KLAS" 2020-2022, 2024-2025
• Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024
• 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

Company Culture and Values

Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. Our culture is rooted in collaboration, growth, and innovation. We invest in your professional development. Every associate will earn a professional certification relevant to their field and can obtain tuition reimbursement. Recognition is offered through quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.

Equal Employment Opportunity

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.

Employment Restrictions

Due to business, operational, payroll, and regulatory requirements, this position is limited to individuals who reside and are authorized to work within the United States. Applications generated from outside the United States will not be considered. Individuals may reapply when located within the United States.

Reasonable Accommodations

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].

Application Contact

If you are a passionate, dedicated and experienced revenue cycle, consulting or finance professional and seek career and personal growth, we believe we foster an environment where talented individuals can excel and shine.