Financial Clearance Specialist

Ensemble Health Partners • Atlanta, GA

2d • $17 - $19 • Remote

About The Position

The Financial Clearance Specialist provides customer service to scheduled patients and works to determine and address their cost share or financial liability before the date of service. The position verifies benefits, updates account and workflow systems, confirms insurance eligibility, calculates patient liability, and attempts to collect payment by phone. It also supports patient safety by selecting appropriate medical records and scheduling procedures according to physician orders. The role is remote, with travel to and work at client, temporary, or corporate office locations as business needs require. Pay is $17.00–$18.65 per hour, based on experience.

Requirements

• At least 2 years of call-center experience with collection experience.
• Articulate, personable, dependable, and confident, with excellent communication skills.
• Customer-service orientation and ability to build trust and respect by exceeding customer expectations.
• Typing speed of 45 WPM and proficiency with multiple computer applications.
• Support and follow organizational policies and procedures.
• Be inquisitive and open to innovation, including AI, to explore better processes and improve patient and client experiences.
• Must reside and be authorized to work in the United States.
• Must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require.

Nice To Haves

• Two-year or associate degree.
• Medical or insurance background and knowledge of MS Office programs.

Responsibilities

• Provide customer service and follow the scripted benefit-verification format in the HIS benefits screen.
• Update accounts in the workflow system with accurate documentation.
• Select accurate medical records for patient safety and schedule appropriate procedures based on physician orders.
• Assign insurance plans accurately, confirm electronic eligibility, and document results.
• Calculate patient cost share or liability and attempt to collect payment by phone within 48 hours of the date of service.
• Use appropriate systems to communicate with hospital gatekeepers, access health information system accounts, and collect documentation as appropriate.
• Meet performance expectations within 90 days of hire, including individual and team goals supporting achievement of 2% of Net Patient Revenue.
• Meet daily, weekly, and monthly call score averages above 95%.
• Perform other job-related duties as required by the supervisor, subject to reasonable accommodation.

Benefits

• Bonus incentives and quarterly and annual incentive programs.
• Paid professional certifications.
• Tuition reimbursement.
• Comprehensive benefits, including healthcare, time off, retirement, and well-being programs.
• Career advancement and professional development opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree