Specialist, Financial Counseling

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 accurate verification and calculation of patient liabilities, including previous balances, collection of patient payments, and may require nights, weekends, and holidays as necessary. The role involves assessing and collecting patient liabilities such as copays, deductibles, co-insurance, and balances after financial assistance. The Specialist will utilize face-to-face communication with patients during their stay to collect estimated patient liability.

Responsibilities

• Assess and collect patient liabilities, including copays, deductibles, co-insurance, and balances after financial assistance.
• Perform face-to-face communication with patients to collect estimated patient liability during their stay.
• Work on 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 payments while in-house.
• Send letters to patients post-discharge detailing estimated liability and payment options.
• Assist patients in signing consent to treat, observation forms, Important Message from Medicare, and other registration-related forms.
• 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 the collection and organization of outpatient orders related to future and current dates of service using various 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.

Benefits

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement
• Associate Benefits: Comprehensive benefits package supporting physical, emotional, and financial health, including healthcare, time off, retirement, and well-being programs.
• Culture: A collaborative, growth-oriented, and innovative environment where associates can do their best work.
• Growth: Investment in professional development, including earning a professional certification relevant to the field and tuition reimbursement.
• Recognition: Quarterly and annual incentive programs for employees who exceed expectations.

Pay

$18.15 - $19.90/hr based on experience.

Schedule

Monday to Friday, 8:00 AM - 4:30 PM.

This position is an onsite role, and candidates must be able to work on-site at Ardent - Hillcrest Claremore in Claremore, OK.