Financial Clearance Specialist

Ensemble Health Partners; États-Unis; À distance; 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 while verifying patient cost shares prior to service. You will confirm insurance eligibility, document results in HIS, schedule procedures, and help reduce denials while maintaining a 95% call score and a 2% Net Patient Revenue target.

This is a remote role with occasional travel to client sites; compensation ranges from $17.00 to $18.65 per hour, with opportunities for certifications and

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
• Types 45 WPM and is proficient in multiple computer applications

Responsabilités

• 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.
• This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job.

Connaissances

Customer service

Communication skills

Typing 45 WPM

Multi-tasking

Formation

Associates Degree

Outils

MS Office

Description du poste

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 Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement
• This position pays between $17.00 - $18.65/hr based on experience

Job 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 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:

• 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.

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.

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].

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