Financial Counseling Specialist

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.

About the role

The Inpatient Financial Counseling Specialist performs benefit education and validation, including face-to-face review of inpatient benefits, authorization, and collecting inpatient, observation, and outpatient-in-a-bed liability. This position handles the accurate verification and calculation of patient liabilities, including previous balances, collection of patient payments, and may require nights, weekends, and holidays. The Financial Counseling Specialist will work within the policies and processes as they are performed across the organization.

Responsibilities

• Assess and collect patient liabilities, including copays, deductibles, co-insurance, and balances after financial assistance.
• Determine patient liability by assessing insurance and financial information.
• Utilize face-to-face communication with patients during their stay to collect estimated patient liability.
• Work various patient access, insurance eligibility, and follow-up reports as assigned.
• Facilitate daily in-house call reviews to validate patients have a valid payor source with authorization for the current stay.
• Complete pre-registration and registration tasks, including registering patients at the time of service or prior, while attempting to collect the patient’s financial liability.
• Monitor missed collection opportunities for potential process improvements and follow-up.
• Make at least 3 attempts each day to visit a patient's room if the patient is otherwise preoccupied.
• Note all accounts with a patient liability daily.
• Make follow-up phone calls to patients unable to make payment while in-house.
• Send letters to patients' addresses post-discharge detailing estimated liability and payment options.
• Work with patients to sign consent to treat, observation, Important Message from Medicare, and other registration-related forms if applicable.
• Assist eligibility specialists in verifying insurance information, Medicaid and charity processing, and other tasks as needed.
• Run a daily census to determine patients with potential eligibility.
• Assist in collecting and organizing outpatient orders related to future and current dates of service using Revenue Cycle systems.

Requirements

• High School Diploma/GED required.
• CRCR (Certified Revenue Cycle Representative) required within 6 months of hire (company paid).
• 1+ years of customer service experience.
• Must be inquisitive and demonstrate openness to innovation, including AI, to explore better processes and improve patient and client experiences.

Benefits

• Bonus incentives.
• Paid certifications.
• Tuition reimbursement.
• Comprehensive benefits package supporting physical, emotional, and financial health, including healthcare, time off, retirement, and well-being programs.
• Collaborative, growth-oriented, and innovative culture.
• Professional development opportunities, including earning a professional certification relevant to the field.
• Quarterly and annual incentive programs for outstanding performance.

Pay

$18.65 - $19.90/hr based on experience.

Schedule

This is an onsite role at Ballad - Johnston Memorial Hospital, Abingdon, VA. May require nights, weekends, and holidays.

Ensemble is an equal employment opportunity employer and provides reasonable accommodations to qualified individuals with disabilities. If you require accommodation in the application process, please contact TA@ensemblehp.com.