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 Tower - Reading Hospital in West Reading, PA.

Responsibilities

• Perform the task of benefit education and validation, including face to face review of inpatient benefits, authorization, and collecting inpatient, observation, and outpatient in a bed liability throughout Ensemble Health Partners.
• Absolutely ensure the accurate verification and calculation of patient liabilities, including previous balances, collection of patient payments, and may require nights, weekends, and holidays, as necessary.
• Responsible for the assessment and collection of patient liabilities, which include copays, deductibles, co-insurance, and balances after financial assistance.
• 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 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.
• 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.

Requirements

• 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.

Qualifications

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

Benefits

• Comprehensive benefits package
• Professional certifications
• Tuition reimbursement
• Quarterly and annual incentive programs
• Professional development

Pay

This position pays between $18.65 - $19.90/hr based on experience.

Schedule

This position is an onsite role, and candidates must be able to work on-site at Tower - Reading Hospital in West Reading, PA.