Financial Counseling Specialist

Ensemble Health Partners•Summerville, SC

3d•$19 - $20•Onsite

About The Position

Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. This position 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-bed liability throughout Ensemble Health Partners. This position handles the accurate verification and calculation of patient liabilities including previous balances, collection of patient payments, and may require nights, weekends, and holidays, as necessary. They are responsible for performing these functions while meeting the mission of Ensemble Health Partners and all regulatory compliance requirements. The Financial Counseling Specialist will work within the policies and processes as they are being performed across the entire organization. Responsible for the assessment and collection of patient liabilities. These collections include copays, deductibles, co-insurance and balances after financial assistance. This individual is tasked with assessing patient insurance and financial information to determine liability. The Specialist in Inpatient Collections will 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. Assists in facilitating daily in-house 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. Completion of 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. Monitors missed collection opportunities for potential process improvements and follow-up. Must make at least 3 attempts each day to visit a patient's room if the patient is otherwise preoccupied in previous attempts. Notes all accounts with a patient liability daily. 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. Assists 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

High School Diploma/GED Required
CRCR (Certified Revenue Cycle Representative) Required within 6 months of hire (Company Paid)
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.

Responsibilities

Perform benefit education and validation.
Conduct face-to-face review of inpatient benefits and authorization.
Collect inpatient, observation, and outpatient in-bed liability.
Accurately verify and calculate patient liabilities, including previous balances.
Collect patient payments.
Assess and collect patient liabilities, including copays, deductibles, co-insurance, and balances after financial assistance.
Assess patient insurance and financial information to determine liability.
Utilize face-to-face communication with patients during their stay to collect estimated patient liability.
Work various patient access, insurance eligibility, and follow-up reports.
Assist in facilitating daily in-house call reviews to validate payor source and authorization.
Complete pre-registration and registration tasks, including registering patients and attempting to collect financial liability.
Monitor missed collection opportunities for potential process improvements and follow-up.
Make at least 3 attempts each day to visit a patient's room if the patient is otherwise preoccupied in previous attempts.
Note all accounts with a patient liability daily.
Make follow-up phone calls to patients unable to make payment while in-house.
Send letters to patients' addresses post-discharge detailing estimated liability and payment options.
Work with patients to sign consent to treat, observation, Important Message from Medicare, and other registration-related forms.
Assist eligibility specialists in verification of insurance information, Medicaid and charity processing.
Run a daily census to determine patients with potential eligibility.
Assist in the collection and organization of outpatient orders for future and current dates of service.