Note: The job is a remote job and is open to candidates in USA. Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems. The Financial Clearance Associate Specialist plays a crucial role in providing customer service and ensuring patients are financially cleared prior to scheduled services by verifying insurance coverage and benefits.
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
- High School Diploma required
- Understanding of admissions, billing, payments, and denials
- Comprehensive knowledge of the patient insurance process, including obtaining authorizations and benefits verification
- Knowledge of medical terminology and CPT/procedure codes
- Articulate, personable, dependable, and confident with excellent communication skills
- Customer service oriented; builds trust and respect by exceeding customer expectations
- Associate's degree preferred
- 1–2 years of healthcare experience preferred
- Patient Access experience with managed care/insurance and call center experience highly preferred
Benefits
- Competitive compensation and benefits packages that reflect a commitment to fair and just workplaces.
- Wellness programming designed to support associate health, including a comprehensive annual health risk assessment.
- A participatory culture that strengthens diversity and inclusion.
- Growth opportunities, including traditional and online learning, tuition reimbursement, and coaching to support skill development, degrees, certifications, and CEUs.
- Recognition programs, including service awards, celebrations, and personal appreciation, plus annual associate surveys to identify opportunities for improvement.
- 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.
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