Financial Counselor

Ensemble Health Partners•Kingsport, TN

23h•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 and a comprehensive suite of point solutions to clients across the country, aiming to keep communities healthy by keeping hospitals healthy. Ensemble emphasizes a human touch in healthcare, empowering its people to challenge the status quo. The company's O.N.E Purpose focuses on Customer Obsession, Embracing New Ideas, and Striving for Excellence. The Inpatient Financial Counseling Specialist performs benefit education and validation, including face-to-face review of inpatient benefits, authorization, and collecting inpatient, observation, and outpatient in-bed liability. This role involves accurate verification and calculation of patient liabilities, including previous balances and collection of patient payments. The specialist is responsible for these functions while adhering to Ensemble Health Partners' mission and all regulatory compliance requirements, working within established organizational policies and processes.

Requirements

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

Nice To Haves

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

Performs the task of benefit education and validation
Includes face to face review of inpatient benefits, authorization and collecting inpatient, observation, and outpatient in a bed liability throughout Ensemble Health Partners
Handles the accurate verification and calculation of patient liabilities including previous balances, collection of patient payments
Responsible for performing these functions while meeting the mission of Ensemble Health Partners and all regulatory compliance requirements
Works 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
Assessing patient insurance and financial information to determine liability
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 inhouse 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