Specialist, Financial Counseling

O.N.E Purpose

Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.

Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.

Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.

The Opportunity

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement

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 Ardent - Portneuf Medical Center in Pocatello, ID.

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.

• Accurate verification and calculation of patient liabilities including previous balances, collection of patient payments, and may require nights, weekends, and holidays, as necessary.
• Performing these functions while meeting the mission of Ensemble Health Partners and all regulatory compliance requirements.
• Working within the policies and processes as they are being performed across the entire organization.
• Assessing and collecting patient liabilities, which include copays, deductibles, co-insurance and balances after financial assistance.
• Utilizing 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.
• Facilitating 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.
• Completing 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.
• Making at least 3 attempts each day to visit a patient's room if the patient is otherwise preoccupied in previous attempts.
• Making follow-up phone calls to patients that are unable to make payment while in-house.
• Sending 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.
• Aids 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.

Required Qualifications

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

We Love: 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 – Invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
• Recognition – Quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.

Ensemble is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble also prohibits harassment of applicants or employees based on any of these protected categories. Ensemble provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law.