Financial Clearance Specialist

Ensemble Health Partners • Atlanta, GA

1d • Remote

About The Position

Ensemble is a provider of technology-enabled revenue cycle management solutions for health systems, hospitals, and affiliated physician groups. The Financial Clearance Specialist provides customer service to scheduled patients by verifying benefits and addressing their cost share or other financial liabilities before their date of service. The role documents account information in the health information and workflow systems, confirms eligibility, calculates patient liabilities, and attempts to collect payment by phone. This is a remote position, with travel to and work at client, temporary, or corporate offices when business needs require. The position pays $17.00–$18.65 per hour, based on experience.

Requirements

• At least two years of call-center experience with collection experience.
• Articulate, personable, dependable, and confident, with excellent communication skills.
• Customer-service orientation and the 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.
• Willingness and ability 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.
• Knowledge of MS Office programs.
• Inquisitiveness and openness to innovation, including AI, to explore improved processes and reduce friction in patient and client experiences.

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, perform electronic eligibility confirmation, and document results.
• Calculate patient cost share or liability and attempt to collect it by phone within 48 hours of the date of service.
• Use appropriate systems to communicate with hospital gatekeepers, use health information system accounts, and collect documentation as appropriate.
• Meet performance expectations within 90 days of hire and meet daily, weekly, and monthly call-score expectations.

Benefits

• Bonus incentives and quarterly and annual incentive programs.
• Paid professional certifications relevant to the associate’s field.
• 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