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 ensuring patients are financially cleared prior to scheduled services by verifying insurance coverage and benefits, confirming financial responsibility, and supporting timely documentation to help patients understand expected costs.
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.
Company Overview