Remote Financial Clearance Specialist

Ensemble Health Partners; Kentucky; Hybrid; USD 23,000 - 25,000; Full time

Benefits offered by this job

Competitive compensation

Wellness program

Diversity and inclusion

Growth opportunities

Recognition programs

Job summary

Ensemble Health Partners is seeking a Financial Clearance Specialist for a remote role in the United States. You will verify insurance, determine financial responsibility, and document outcomes to minimize delays in care.

Responsibilities include confirming benefits, calculating patient cost shares, and coordinating with hospital staff. The ideal candidate has healthcare experience, solid communication skills, and knowledge of CPT codes.

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 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.

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

Customer service

Communication skills

Medical terminology

Insurance verification

Admissions/process

CPT codes knowledge

Call center experience

Education

High School Diploma

Associate’s degree preferred

Job description

Ensemble Health Partners is seeking a Financial Clearance Specialist for a remote role in the United States. You will verify insurance, determine financial responsibility, and document outcomes to minimize delays in care.

Responsibilities include confirming benefits, calculating patient cost shares, and coordinating with hospital staff. The ideal candidate has healthcare experience, solid communication skills, and knowledge of CPT codes.