[Hiring] Financial Clearance Specialist @Ensemble Health Partners

Role Description

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.

• 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.
• Meets 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%> 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.

Qualifications

• 2 Year/ Associates Degree
• 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.
• 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.

Requirements

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement
• This position pays between $17.00 - $18.65/hr based on experience.

Benefits

• 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 development investment, including earning a professional certification relevant to their field and tuition reimbursement.
• Quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.