Financial Counseling Representative
About The Position
R1 is hiring an on-site Financial Counseling Representative at Ascension St. Thomas Midtown Hospital in Nashville, Tennessee. The role helps uninsured and underinsured patients understand coverage and financial assistance options. The representative travels between hospital floors to meet with patients in their rooms, screen for potential program eligibility, help complete applications, explain financial responsibilities, and discuss payment options. The position requires balancing compassionate, patient-centered service with accuracy and productivity in a fast-paced hospital setting. The representative tracks application status, follows up on missing information, documents activity, protects patient privacy, and works with clinical, Patient Access, and revenue cycle teams. The work involves regular movement throughout the hospital and in-person patient visits; staff may be around illnesses or injuries and support patients during stressful situations. 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. The listed schedule is Monday, Tuesday, Wednesday, Saturday, and Sunday, 7:30 a.m.–4:00 p.m., with Thursday and Friday off. The posting lists pay as $19 per hour ($39,520 annually), while also stating a base pay range of $0.00–$0.00 per hour for the U.S.-based position; individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.
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 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 available payment options, and support collection of amounts due respectfully and in a patient-centered manner.
- 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
- Competitive benefits package.
- Training and support from experienced leaders.
- Opportunities for professional growth within R1.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
