Financial Counseling Specialist

Ensemble Health Partners • Lewiston, ME

6d • Onsite

About The Position

The Financial Counseling Specialist helps patients understand and manage their financial obligations for healthcare services. The role reviews benefits, estimates patient liabilities, arranges payments, and ensures compliance with organizational policies and regulatory requirements. Responsibilities include assessing and collecting copays, deductibles, coinsurance, and balances remaining after financial assistance. The specialist reviews patient insurance and financial information to determine liability and uses face-to-face communication with inpatients to collect estimated amounts due.

The position also supports patient access and insurance eligibility work, including registration, pre-registration, authorization and payor-source validation, and follow-up. The specialist documents patient liabilities, follows up with patients who cannot pay while in-house, and sends post-discharge letters explaining estimated liabilities and payment options. The role assists with insurance verification, Medicaid and charity processing, patient eligibility identification, and organizing outpatient orders in revenue cycle systems.

This is an onsite position at Covenant-St Marys in Lewiston, Maine. Pay is $18.65–$19.90 per hour, based on experience. The Certified Revenue Cycle Representative (CRCR) certification is required within six months of hire and is company-paid.

Requirements

• At least 1 year of customer service experience.
• High school diploma or GED.
• CRCR (Certified Revenue Cycle Representative) certification required within 6 months of hire; company-paid.
• Must be inquisitive and open to innovation, including AI, to explore better processes and reduce friction in patient and client experiences.
• Must be able to work onsite at Covenant-St Marys in Lewiston, Maine.
• Must reside and be authorized to work in the United States.

Responsibilities

• Assess and collect patient liabilities, including copays, deductibles, coinsurance, and balances after financial assistance.
• Review patients’ insurance and financial information to determine their financial liability.
• Meet face-to-face with inpatients during their stay to collect estimated patient liability.
• Work assigned patient access, insurance eligibility, and follow-up reports.
• Facilitate daily in-house call reviews with needed parties to validate that patients have a valid payor source and authorization for the current stay.
• Complete pre-registration 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 attempts each day to visit a patient’s room when the patient was preoccupied during earlier attempts.
• Document accounts with patient liability daily.
• Call patients who were unable to make payment 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.

Benefits

• Bonus incentives and quarterly and annual incentive programs.
• Company-paid CRCR certification.
• Tuition reimbursement.
• Comprehensive benefits, including healthcare, time off, retirement, and well-being programs.
• Professional development and career advancement opportunities.
• Associate recognition programs.

What This Job Offers

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