Financial Clearance Specialist
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.
About the role
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. 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.
Responsibilities
- 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% or greater 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.
Requirements
- 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.
- 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.
Qualifications
- 2 Year/Associates Degree.
Benefits
- Bonus Incentives
- Paid Certifications
- Tuition Reimbursement
- 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.
- Professional certification relevant to your field.
- Quarterly and annual incentive programs for all employees.
- Collaborative, growth-oriented, and innovative culture.
Pay
This position pays between $17.00 - $18.65/hr based on experience.
About Ensemble
Ensemble is an award-winning company recognized for excellence in revenue cycle management and workplace culture:
- 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)