Financial Counselor

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 Financial Counselor (FC) role is responsible for the review of benefits and collection of bedded patient (inpatient, observation or bedded outpatient) liability inclusive of previous balances throughout Ensemble Health Partners. This position includes conducting essential reporting and auditing, and has a comprehensive understanding of the client’s financial assistance (FA) policy to offer the FA application, explain its contents, and answer any questions. The FC performs these functions while meeting the mission of Ensemble Health Partners and all regulatory compliance requirements.

Responsibilities

• Obtain patient insurance and financial information to determine estimates and collect on estimated patient liabilities (including copays, deductibles, co-insurance, and past due/outstanding balances after financial assistance has been applied) and meet assigned daily point of service (POS) collection goals.
• Carry out notifications to recently discharged (within 7 days) bedded patients that did not pay estimated liabilities, including attempts within account notations.
• Partner in daily cashiering responsibilities as assigned by client, including but not limited to daily cash reconciliation and daily deposit functions.
• Responsible for flat-rate contracts, bundled services, and all applicable self-pay options.
• Facilitate internal and external communication with key stakeholders on case statuses and escalations.
• Collaborate with Case Management and/or Utilization Management regarding regulatory form completion, including but not limited to Hospital Inpatient Notices of Non-Coverage (HINNs), Lifetime Reserve Day (LTR) declinations, etc.
• Run, monitor, and work on the missed collection opportunities report for potential process improvements and follow-up, making at least three documented attempts each day to visit or contact patients when listed in an inpatient status.
• Maintain Client and/or Ensemble-specific work queues as applicable to the FC role, including unbilled edits.
• Complete various follow-up reports as assigned, including but not limited to accounts requiring next-day verification and denial root cause analysis.
• Manage communications with patients that are unable to make payments while in-house.
• Ensure completion of all required registration-related consents/forms at or after patient admission.
• Develop and submit CFO escalations of uncollected estimated liabilities in compliance with existing financial clearance policies.
• Assist eligibility specialists in the verification of insurance information such as: Medicaid and charity processing, complete payor searches for secondary coverages, query coverage for self-pay patients, and provide coordination of benefits education.
• Work daily queues to complete, update, and clear any unbilled accounts as needed and assigned.

Requirements

• High School Diploma/GED required.
• CRCR certification required within 9 months of hire (company paid).
• 1-3 years of customer service experience.
• 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.

Preferred Skills

• Basic understanding of Medicare & Medicaid benefits.
• Knowledge of Labor & Delivery benefits.
• Understanding and explaining Explanation of Benefits (EOBs).
• Familiarity with grants and research, Black Lung qualification, COBRA benefits, Healthcare Sharing Ministry coverages, billing and back-end processes, and Defense Enrollment Eligibility Reporting Systems (DEERS) process.

Benefits

• Bonus incentives.
• Paid certifications.
• Tuition reimbursement.
• Comprehensive benefits package designed to support physical, emotional, and financial health, including healthcare, time off, retirement, and well-being programs.
• Career advancement opportunities.

Pay

This position pays between $18.65 - $19.90 per hour based on experience.

About Us

• 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).
• Leader in Everest Group's RCM Operations PEAK Matrix Assessment (2024).
• Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance (2020, 2022-2023).
• Energage Top Workplaces USA (2022-2024).
• Fortune Media Best Workplaces in Healthcare (2024).
• Monster Top Workplace for Remote Work (2024).
• Great Place to Work certified (2023-2024).

Ensemble values innovation, work-life flexibility, leadership, and purpose-driven culture. We believe in empowering people and providing the tools and resources needed to thrive.