Financial Clearance Associate

🕒 Maio 13

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Ensemble Health Partners

SiteLinkedInTodas as Vagas

5001 - 10000 funcionários

⚕️ Seguro de Saúde

☁️ SaaS

🏢 Corporativo

💰 Private Equity Round em 2022-03

Healthcare Insurance • SaaS • Enterprise

A Ensemble Health Partners é uma das principais fornecedoras de serviços de gestão do ciclo de receita (RCM) para organizações de saúde. Eles oferecem uma solução RCM completa que ajuda hospitais, sistemas de saúde e grupos de médicos afiliados a otimizar seus ciclos de receita, reduzir recusas e pagamentos incorretos, e melhorar as experiências dos pacientes usando uma combinação de gestão especializada e tecnologia avançada. A Ensemble Health Partners utiliza operadores certificados e inteligência artificial para entregar resultados consistentes, melhorar as cobranças e apoiar o crescimento futuro dos provedores de saúde. Eles são reconhecidos por suas parcerias robustas com clientes e pelo compromisso em proporcionar aumento confiável de receita e economia de custos para seus clientes.

Descrição

• 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.

🎯 Requisitos

• High School Diploma required; Associate’s degree preferred. • 1–2 years of healthcare experience preferred. • 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. • 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.

🏖️ Benefícios

• 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.