Financial Counselor

Ensemble Health Partners • Roanoke, VA

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 as well as a comprehensive suite of point solutions to clients across the country, aiming to keep communities healthy by keeping hospitals healthy. Ensemble emphasizes the 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 is responsible for benefit education and validation, including face-to-face review of inpatient benefits, authorization, and collecting inpatient, observation, and outpatient liabilities. This role involves accurate verification and calculation of patient liabilities, collection of patient payments, and adherence to Ensemble Health Partners' mission and regulatory compliance requirements. The specialist will operate within established organizational policies and processes.

Requirements

• 1+ years of customer service experience
• High School Diploma/GED Required
• CRCR (Certified Revenue Cycle Representative) Required within 6 months of hire (Company Paid)

Responsibilities

• Responsible for the assessment and collection of 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 the estimated patient liability.
• Work various patient access, insurance eligibility, and follow-up reports as assigned.
• Assist in facilitating daily in-house call reviews to ensure patients have a valid payor source with authorization for the current stay.
• Complete pre-registration and registration tasks, including registering patients at the time of service or prior to the date of service, while attempting to collect the patient’s 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 that are unable to make payment while in-house.
• Send letters to patients' addresses post-discharge detailing an estimated liability as well as options to pay.
• Work with patients to sign consent to treat, observation, Important Message from Medicare, and other registration-related forms if applicable.
• Assist eligibility specialists in the verification of insurance information, Medicaid and charity processing, and other tasks as needed.
• Run a daily census to determine patients with potential eligibility.
• Assist 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.

Benefits

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• 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.
• Quarterly and annual incentive programs for all employees.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 501-1,000 employees