Ensemble Health Partners
Thank you for considering a career at Ensemble Health Partners!
Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.
Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference
The Opportunity:
The Financial Clearance Specialist 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.
- Financial Clearance Specialist 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.
- The Financial Clearance Specialist utilizes appropriate systems to facilitate communication with hospital gatekeepers, utilizes health information system account and collections documentation as appropriate.
Experience We Love:
- Understanding admission, billing, payments, and denials.
- Comprehensive knowledge of patient insurance process for obtaining authorizations and benefits verification.
- Knowledge of medical terminology or CPT or procedure codes.
- Patient Access experience with managed care/insurance and Call Center experience highly preferred.
- Articulate, personable, dependable, and confident with excellent communication skills.
- Customer service oriented, builds trust and respect by exceeding customer expectations.
Required Qualifications:
- High school diploma or GED
Certification:
- CRCR Required within 6 months of hire