Financial Clearance Specialist

Ensemble Health Partners; Blue Ash (OH); Remote; USD 23,000 - 26,000; Full time

Benefits offered by this job

Bonus incentives

Paid certifications

Tuition reimbursement

Comprehensive benefits

Career advancement

Job summary

Ensemble Health Partners is seeking a Financial Clearance Specialist to provide world-class service for cost share and liabilities prior to service dates. You will verify benefits, calculate patient responsibility, and contact patients to collect payments, while coordinating with hospital staff and using HIS systems.

The role is remote with potential onsite travel to client locations as required. A minimum of Associates degree and 2 years in a call center/collections environment are expected,

Qualifications

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

Responsibilities

• Provides world-class customer service to scheduled patients for cost share/liability prior to service date
• Verifies eligibility and documents results in the HIS and workflow systems
• Calculates patient cost share/liability and attempts collection via phone within 48 hours of service
• Schedules appropriate procedures based on physician orders and assigns insurance plans accurately
• Meet performance expectations within 90 days and achieve call score targets daily/weekly/monthly

Skills

Communication skills

Customer service

Education

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:CAREER OPPORTUNITY OFFERING:Bonus IncentivesPaid CertificationsTuition ReimbursementComprehensive BenefitsCareer AdvancementThis position pays between $17.00 - $18.65/hr based on experienceJob 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 ordersAssigns 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 DegreeMinimum 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 programsMust 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 companyFive-time winner of “Best in KLAS” 2020-2022, 2024-2025Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-202422 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023Energage Top Workplaces USA 2022-2024Fortune Media Best Workplaces in Healthcare 2024Monster Top Workplace for Remote Work 2024Great Place to Work certified 2023-2024InnovationWork-Life FlexibilityLeadershipPurpose + ValuesBottom 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.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.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] 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