Specialist, Financial Counseling

Ensemble Health Partners•Fredericksburg, VA

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. The company emphasizes a human touch in healthcare and empowers its people to challenge the status quo. The O.N.E Purpose includes Customer Obsession, Embracing New Ideas, and Striving for Excellence. This position is an onsite registration role at MWHC - Mary Washington Hospital in Fredericksburg, VA. 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 a bed liability. 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 work within established policies and processes across the organization.

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.
Responsible for the assessment and collection of patient liabilities.
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.