Specialist, Financial Counseling

Ensemble Health Partners · Woodstock, VA · 2 wk ago

Finance$18.65–$19.9/hrFull-time

Career Opportunity

CAREER OPPORTUNITY OFFERING:

Bonus Incentives
Paid Certifications
Tuition Reimbursement
Comprehensive Benefits
Career Advancement

About the Role

This position pays between $18.65 - $19.90/hr based on experience. This position is an onsite role, and candidates must be able to work on-site at Valley - Shenandoah Memorial Hospital in Woodstock, VA.

Responsibilities

The Inpatient Financial Counseling Specialist performs the task of benefit education and validation. This includes face to face review of inpatient benefits, authorization and collecting inpatient, observation, and outpatient in a bed liability throughout Ensemble Health Partners. 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, as necessary. They are responsible for performing these functions while meeting the mission of Ensemble Health Partners and all regulatory compliance requirements. The Financial Counseling Specialist will work within the policies and processes as they are being performed across the entire organization.

Assess and collect patient liabilities, including copays, deductibles, co-insurance and balances after financial assistance.
Absorb patient insurance and financial information to determine liability.
Utilize face to face communication with patients during their stay to collect the estimated patient liability.
Works various patient access, insurance eligibility, follow-up reports as assigned.
Facilitates daily inhouse call reviews to include all needed parties to validate that patients have a valid payor source with authorization on the account for the current stay.
Completes pre-registration and registration tasks including, but not limited to, the registration of patients at the time of service, or prior to the date of service while attempting to collect the patient’s financial liability.
Maintains a daily record of accounts with a patient liability.
Makes follow-up phone calls to patients that are unable to make payment while in-house.
Sends letters to patients' addresses post-discharge detailing an estimated liability as well as options to pay.
Works with patients to sign consent to treat, observation, Important Message from Medicare, and other registration-related forms if applicable.
Assists eligibility specialists in the verification of insurance information, Medicaid and charity processing, and other tasks as needed.
Runs a daily census to determine patients with potential eligibility.
Assists in the collection and organization of outpatient orders as they relate to future and current dates of service, utilizing queues built within various Revenue Cycle systems.

Requirements

High School Diploma/GED
Required: CRCR (Certified Revenue Cycle Representative)

Qualifications

1+ 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.

Benefits

Associate Benefits – 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.
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.