[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, with goals set on a daily individual as well as a team basis to support achievement of 2% of Net Patient Revenue.
• Maintains call score averages of 95% or greater daily, weekly, and monthly to ensure a high level of customer service.

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

• Consistently provide exceptional experiences for clients, patients, and colleagues by understanding their needs and exceeding their expectations.
• Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
• Execute at a high level by demonstrating the “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.

Benefits

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