About the RoleThe ideal candidate for this position is a proactive self-starter who demonstrates critical and creative thinking to resolve issues effectively, performs well with limited reliance on detailed workflows, and adapts quickly as priorities or processes evolve. This role requires the ability to work efficiently under pressure, conduct thorough independent research, determine appropriate courses of action, and leverage multiple tools to support accurate, timely decision-making. This position works collaboratively with the RCM team and cross-functional departments to complete financial clearance, manage member balances, and resolve member-facing claims issues, including coordination of benefits (COB). A strong understanding of claim details and COB resolution is highly valued, and experience with third-party liability (TPL) is preferred. The candidate will also work proactively to reduce bad debt and ensure timely resolution of outstanding balances. The selected candidate must maintain strong focus and engagement with minimal distraction, demonstrate excellent attendance and punctuality, and exhibit exceptional attention to detail. Success in this role requires strong information retention, the ability to recall and apply policies, procedures, and recent updates in real time, and effective conflict de-escalation and negotiation skills. Additionally, the candidate must be capable of professionally communicating benefit interruptions or eligibility determinations to community members with clarity, empathy, and confidence.What You'll DoAct as financial counselor to community members by explaining their benefits and financial responsibility in a clear, concise mannerSet appropriate expectations with community members regarding Eleanor Health policies for paymentHandle communication effectively and demonstrate empathy with all community membersResolve community member issues and questions related to their outstanding balance and insurance coverage; ensure plan for payment is established, documented, and upheldDemonstrates strong expertise in managing the complexities of financial clearance, with confidence in assisting members across multiple communication channels, including phone, secure messaging, and email. Comfortable engaging with diverse and often complex populations, consistently exhibiting patience, sound judgment, and strong problem-solving abilities. Committed to delivering high-quality service and a positive member experience in every interaction.Assess current workflows and surface opportunities to drive efficiency and improve performance against key metricsCollect outstanding community member balancesCollaborate and communicate with RCM, Clinic, and Access teams to ensure shared understanding of opportunities to enhance processes and barriers to successUtilize data to inform prioritization of workResearch and respond to insurance denialsReview insurance remittances for rejections and respond with corrective actionFax, scan or email correspondence to patientsAttend weekly team meetings and monthly staff meetingsAssist in training new team members when appropriatePerform other duties as assigned by managerQualificationsMinimum of 3 years’ experience working in a healthcare customer service role, with focus on resolving financial issues while providing high quality customer experienceStrong communication skillsAbility to work in a busy, high-volume environmentKnowledge of billing and collection practices requiredExperience with claims follow up, processing patient payments, reading and understanding insurance correspondence and EOBsThe ability to work in a fast-paced and sometimes ambiguous environmentPreferred:Behavioral Health and substance use disorder experience preferredExperience with value-based care or alternative payment models preferred Athena experience preferredCompensation & BenefitsThe total target compensation range for this position is $21-23 an hour. The actual compensation offered depends on a variety of factors, which may include, as applicable, the applicant’s qualifications for the position; years of relevant experience; specific and unique skills; level of education attained; certifications or other professional licenses held; other legitimate, non-discriminatory business factors specific to the position; and the geographic location in which the applicant lives and/or from which they will perform the job.Eleanor Health offers a generous benefits package to full-time employees, which includes:Generous Paid Time Off (prorated for new employees) - unplug, relax, and recharge! 12 Vacation days12 Wellness (Sick) days3 Floating holidays9 Company-observed holidaysJury Duty, Voting Leave, and other forms of paid time off may be availableEleanor-paid medical and dental insurance plans, with affordable vision coverage -We are a health first company, and we strive to make our plans affordable and accessible.401(k) plan with 3% match - We are excited to be able to support the long-term financial well-being of our team in a way that reinforces Eleanor’s commitment to equity.Short-term disability - We understand that things happen, we want you to feel comfortable to take time to get better.Long Term Disability - Picks up where Short Term Disability leaves off (employee paid).Life Insurance - Both Eleanor and employee-paid options are available.Family Medical Leave -Eleanor Health’s Paid Family & Medical Leave (“PFML”) is designed to provide flexibility and financial peace of mind for approved family and medical reasons such as the birth, adoption, or fostering of a child, and for serious health conditions that you or a family member/significant other might be facing.Wellness Perks & Benefits -Mental Health is important to us and we want our employees to have the accessibility you deserve to talk things through, zen with a mindfulness app, or seek assistance from health advocatesMindfulness App ReimbursementEAP with eight face-to-face sessionsVirtual health and wellness visits covered by our medical plan.