Specialist, Financial Counseling

Ensemble Health Partners•Pocatello, ID

1d•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. 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. This position pays between $18.65 - $19.90/hr based on experience. This position is an onsite role, and candidates must be able to work on-site at Ardent - Portneuf Medical Center in Pocatello, ID. The Inpatient Financial Counseling Specialist 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 a 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 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.

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, authorization, and collection of inpatient, observation, and outpatient liabilities.
Accurately verify and calculate patient liabilities, including previous balances.
Collect patient payments.
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 patient access, insurance eligibility, and follow-up reports.
Facilitate daily in-house call reviews to validate payor source and authorization for the current stay.
Complete pre-registration and registration tasks, including collecting patient financial liability at or prior to the date of service.
Monitor missed collection opportunities for process improvements.
Make at least 3 attempts each day to visit a patient's room if the patient is otherwise preoccupied.
Note all accounts with a patient liability daily.
Make follow-up phone calls to patients unable to make payment while in-house.
Send post-discharge letters 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 with insurance verification, 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.