Financial Counselor

Ensemble Health Partners • Greenville, SC

2d • $18

About The Position

Ensemble Health Partners 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. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results. The Financial Counselor (FC) role is responsible for the review of benefits and collection of bedded patient (inpatient, observation or bedded outpatient) liability inclusive of previous balances throughout Ensemble Health Partners. Additionally, this position includes conducts essential reporting and auditing, and has a comprehensive understanding of the client’s financial assistance (FA) policy to offer the FA application, explain its contents, and answer any questions. The FC is responsible for performing these functions while meeting the mission of Ensemble Health Partners and all regulatory compliance requirements. The FC will work within the policies and processes as they are being performed across the entire organization.

Requirements

• 1 - 3 years of customer service experience
• High School Diploma/GED Required
• CRCR Required within 9 months of hire (Company Paid)

Nice To Haves

• Have a basic understanding of the following based on prior work:
• Medicare & Medicaid benefits
• Labor & Delivery benefits
• Understanding and explaining EOBs
• Grants and research
• Black Lung qualification
• COBRA benefits
• Healthcare Sharing Ministry coverages
• Billing and back-end processes
• Defense Enrollment Eligibility Reporting Systems (DEERS) process

Responsibilities

• Responsible for obtaining patient insurance and financial information to determine estimates and collect on estimated patient liabilities (including copays, deductibles, co-insurance, and past due/outstanding balances after financial assistance has been applied) and meeting assigned daily point of service (POS) collection goals.
• Carry out notifications to recently discharged (within 7 days) bedded patients that did not pay estimated liabilities including attempts within account notations.
• Partner in daily cashiering responsibilities as assigned by client, including but not limited to daily cash reconciliation and daily deposit functions.
• Responsible for flat-rate contracts, bundled services, and all applicable self-pay options.
• Facilitate internal and external communication with key stakeholders on case statuses and escalations.
• Collaborate with Case Management and/or Utilization Management regarding regulatory form completion, including but not limited to Hospital Inpatient Notices of Non-Coverage (HINNs), Lifetime Reserve Day (LTR) declinations, etc.
• Responsible for running, monitoring, and working on the missed collection opportunities report for potential process improvements and follow-up, making at least three documented attempts each day to visit or contact patients when listed in an inpatient status.
• Maintain Client and/or Ensemble-specific work queues as applicable to the FC role, including unbilled edits.
• Completes various follow-up reports as assigned including but not limited to accounts requiring next-day verification and denial root cause analysis.
• Manage communications with patients that are unable to make payments while in-house.
• Ensure completion of all required registration-related consents/forms at or after patient admission.
• Develop and submit CFO escalations of uncollected estimated liabilities in compliance with existing financial clearance policies.
• Assists eligibility specialists in the verification of insurance information such as: Medicaid and charity processing, complete payor searches for secondary coverages, query coverage for self-pay patients and provide coordination of benefits education.
• Work daily queues to complete, update, and clear any unbilled accounts as needed and assigned.

Benefits

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement
• Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
• Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
• Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees