Financial Counseling Representative

R1 RCM•Austin, TX
•$19 - $25•Onsite

About The Position

R1 is hiring an on-site Financial Counseling Representative at Ascension Dell Seton Medical Center-University of Texas in Austin, Texas. The role supports uninsured and underinsured patients by helping them understand coverage and financial assistance options. The representative travels between hospital floors to meet patients in their rooms, assess their financial needs, screen for potential eligibility, assist with applications, and explain financial responsibilities with clarity and compassion. The position is patient-facing and requires regular movement throughout the hospital, in-person patient visits, and work in a fast-paced setting. The representative collaborates with clinical, Patient Access, and revenue cycle teams, while balancing compassionate service, accuracy, and productivity. The schedule is Monday through Friday, 8 a.m. to 5 p.m. The listed pay is $20 per hour; the stated base pay range is $18.59–$25.44 per hour, with individual pay determined by role, level, location, job-related skills, experience, and relevant education or training. R1 describes itself as a technology-driven revenue cycle solutions provider serving hospitals, health systems, and medical groups. The company offers training and support, opportunities for professional growth, and a collaborative team environment. Facility vaccination requirements may apply, including an annual flu vaccination. A background check and drug screening may be required before hire. Reasonable accommodations may be provided to qualified individuals.

Requirements

  • High school diploma or GED.
  • Strong customer service, communication, and interpersonal skills.
  • Compassion and professionalism when discussing sensitive personal and financial information.
  • Ability to explain complex information in clear, simple language.
  • Strong attention to detail and ability to manage multiple systems and priorities.
  • Ability to navigate and work efficiently across multiple systems.
  • Ability to work on-site, move regularly between multiple hospital floors, and meet with patients in their rooms throughout the day.

Nice To Haves

  • Experience in financial counseling, eligibility, Patient Access, registration, patient financial services, or revenue cycle.
  • Knowledge of Medicaid, Marketplace coverage, hospital financial assistance, or similar programs.
  • Experience completing eligibility screenings, applications, or supporting documentation.

Responsibilities

  • Travel between hospital floors and visit uninsured and underinsured patients in their rooms to review financial needs and available resources.
  • Screen patients for potential eligibility for Medicaid, Marketplace coverage, hospital financial assistance, and other programs.
  • Help patients complete applications and gather required documents.
  • Explain coverage options, application steps, and next steps clearly.
  • Discuss estimated patient responsibility and payment options, and support collection of amounts due respectfully.
  • Track application status, follow up on missing information, and document activity accurately.
  • Protect patient privacy and work closely with clinical, Patient Access, and revenue cycle teams.
  • Balance compassionate service, accuracy, and productivity in a fast-paced hospital setting.

Benefits

  • Training and support from experienced leaders.
  • Opportunities for professional growth within R1.
  • Competitive benefits package.
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