Senior Financial Clearance Specialist at Ensemble RCM LLC — Remote

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

Energage Top Workplaces USA 2022-2024

Great Place to Work certified 2023-2024

• Innovation
• Work-Life Flexibility
• Leadership
• Purpose + Values

• 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.

Employment Disclaimers – Ensemble