[Remote] Financial Clearance Specialist

Note: The job is a remote job and is open to candidates in USA. Ensemble RCM LLC provides revenue cycle management services for healthcare organizations. The Financial Clearance Specialist verifies benefits and insurance eligibility, schedules procedures, documents account information, and calculates and collects patients’ cost shares before their appointments.

Responsibilities

• 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
• Meet 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

Skills

• 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
• Is Customer service oriented, builds trust and respect by exceeding customer expectations
• Types 45 WPM and is proficient in multiple computer applications
• 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

Benefits

• Bonus incentives
• Paid certifications
• Tuition reimbursement
• Comprehensive benefits package, including healthcare, time off, retirement, and well-being programs
• Career advancement
• Remote position
• Each associate will earn a professional certification relevant to their field
• Professional development
• Quarterly and annual incentive programs for employees who go beyond and keep raising the bar for themselves and the company

Company Overview