Senior Financial Clearance Specialist
Ensemble Health PartnersThank you for considering a career at Ensemble!
Ensemble 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!
O.N.E Purpose:
Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.
The Opportunity:
The Financial Clearance Senior Specialist performs advanced clearance activities for complex cases and serves as a resource for escalated issues. This position ensures adherence to regulatory and payer requirements while supporting revenue cycle objectives through accurate and timely clearance and proactive financial engagement. Conducts detailed reviews of patient accounts to identify and resolve complex insurance issues. Addresses high-cost or specialized services requiring advanced knowledge of payer rules. Collaborates with clinical and scheduling teams to address barriers impacting clearance. Provides training and guidance to less experienced team members on processes and compliance. Mentors colleagues to build expertise and supports onboarding and ongoing development initiatives. Serves as a subject matter expert for financial clearance processes and creates and updates standard operating procedures to ensure consistency and compliance. Monitors changes in payer requirements and updates internal procedures accordingly. Prepares reports on clearance outcomes and trends for leadership review. Oversees complex point-of-service collection efforts and initiates outbound calls for high-dollar or escalated financial discussions with patients.
Join an award-winning company
Five-time winner of “Best in KLAS” 2020-2022, 2024-2025
Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024
22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024
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