Financial Counseling Specialist

Ensemble Health Partners • Green Bay, WI

3d • $19 - $20 • Onsite

About The Position

The Inpatient Financial Counseling Specialist educates patients about their benefits and validates coverage, authorization, and financial liability. The role includes face-to-face discussions with inpatients about estimated liabilities for inpatient, observation, and outpatient-in-a-bed services, along with accurate verification and calculation of patient balances, including previous balances. The Specialist collects patient payments while following Ensemble policies, processes, the organization’s mission, and regulatory compliance requirements.

The Specialist assesses patient insurance and financial information to determine liability, including copayments, deductibles, coinsurance, and balances after financial assistance. The position also supports registration, eligibility, insurance verification, Medicaid and charity processing, authorization reviews, and outpatient order collection. It is an onsite position at HSHS - St. Mary's Hospital in Green Bay, Wisconsin, and may require nights, weekends, and holidays as necessary.

Requirements

• High school diploma or GED.
• CRCR (Certified Revenue Cycle Representative) certification required within six months of hire; company paid.
• Must be able to work onsite at HSHS - St. Mary's Hospital in Green Bay, Wisconsin.

Nice To Haves

• At least one year of customer service experience.
• Inquisitiveness and openness to innovation, including AI, to explore better processes and reduce friction in patient and client experiences.

Responsibilities

• Assess patient liabilities, including copayments, deductibles, coinsurance, and balances after financial assistance.
• Review patient insurance and financial information to determine liability and collect estimated payments through face-to-face communication during the patient’s stay.
• Work assigned patient access, insurance eligibility, and follow-up reports.
• Help facilitate daily in-house call reviews with relevant parties to validate the patient’s payor source and authorization for the current stay.
• Complete preregistration and registration tasks, including registering patients at or before the date of service and attempting to collect their financial liability.
• Monitor missed collection opportunities for process improvement and follow-up; make at least three room-visit attempts each day when a patient was preoccupied during earlier attempts.
• Note all accounts with a patient liability daily.
• Make follow-up calls to patients unable to pay while in-house.
• Send post-discharge letters detailing estimated liability and payment options.
• Help patients complete consent-to-treat, observation, Important Message from Medicare, and other applicable registration-related forms.
• Assist eligibility specialists with insurance verification, Medicaid and charity processing, and other tasks as needed.
• Run a daily census to identify patients with potential eligibility.
• Collect and organize outpatient orders for future and current dates of service using queues in Revenue Cycle systems.
• Perform all functions in accordance with Ensemble policies, processes, mission, and regulatory compliance requirements.

Benefits

• Bonus incentives and quarterly and annual incentive programs.
• Paid certifications, including a professional certification relevant to the associate’s field.
• Tuition reimbursement.
• Comprehensive benefits package that includes healthcare, time off, retirement, and well-being programs.
• Career advancement and professional development opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED