Financial Counseling Representative

R1 RCM; Austin (TX); On-site; USD 26,000 - 35,000; Full time

Job summary

R1 RCM seeks a Financial Counselor for an on-site role in Austin, TX, traveling between hospital floors to meet patients in their rooms. You will screen eligibility for Medicaid, Marketplace, and financial assistance programs, help with applications, and explain costs and responsibilities clearly.

Responsibilities include coordinating with Patient Access and revenue cycle teams, ensuring privacy, and maintaining compassionate, accurate service in a fast-paced hospital setting.

Qualifications

• High school diploma or GED.
• Strong customer service, communication, and interpersonal skills.
• Compassion and professionalism when discussing sensitive personal and financial information.
• Ability to explain complex information in clear, simple language.
• Strong attention to detail and ability to manage multiple systems and priorities.
• Ability to navigate and work efficiently across multiple systems with ease.
• Ability to work on-site, move regularly between multiple hospital floors, and meet with patients in their rooms throughout the day.

Responsibilities

• Travel between hospital floors to meet uninsured or underinsured patients in their rooms and review financial needs.
• Screen for Medicaid, Marketplace, hospital financial assistance, and other programs.
• Assist patients with applications and required documents.
• Explain coverage options, steps, and next steps clearly to patients.
• Discuss patient responsibility and payment options; support collection respectfully.
• Track application status and follow up on missing information.

Skills

Customer service

Communication

Interpersonal skills

Compassion

Explain clearly

Attention to detail

Multi-system navigation

On-site presence

Education

High school diploma or GED

Job description

On-site | Austin, TX | Ascension Dell Seton Medical Center-University of Texas

Schedule: Monday-Friday 8am-5pm | Job type: Full Time Pay: $20

Help Patients Find Financial Support

Join R1 as a Financial Counselor and help uninsured and underinsured patients understand their coverage and financial assistance options. In this on-site role, you will regularly travel between multiple hospital floors to meet with patients in their rooms, screen for potential eligibility, assist with applications, and explain financial responsibilities with clarity and compassion.

What You’ll Do

• Travel between multiple hospital floors and visit uninsured and underinsured patients in their rooms to review their financial needs and available resources.
• Screen for potential eligibility for Medicaid, Marketplace coverage, hospital financial assistance, and other programs.
• Help patients complete applications and gather required documents.
• Clearly explain coverage options, application steps, and next steps.
• Discuss estimated patient responsibility and available payment options, and support collection of amounts due in a respectful, patient-centered manner.
• Track application status, follow up on missing information, and document activity accurately.
• Protect patient privacy and work closely with clinical, Patient Access, and revenue cycle teams.
• Balance compassionate service, accuracy, and productivity in a fast-paced hospital setting.

What You’ll Bring

• High school diploma or GED.
• Strong customer service, communication, and interpersonal skills.
• Compassion and professionalism when discussing sensitive personal and financial information.
• Ability to explain complex information in clear, simple language.
• Strong attention to detail and ability to manage multiple systems and priorities.
• Ability to navigate and work efficiently across multiple systems with ease.
• Ability to work on-site, move regularly between multiple hospital floors, and meet with patients in their rooms throughout the day.

Preferred Qualifications

• Experience in financial counseling, eligibility, Patient Access, registration, patient financial services, or revenue cycle.
• Knowledge of Medicaid, Marketplace coverage, hospital financial assistance, or similar programs.
• Experience completing eligibility screenings, applications, or supporting documentation.

Why Join R1?

• Make a meaningful difference for patients facing financial challenges.
• Build healthcare financial counseling and revenue cycle experience.
• Receive training and support from experienced leaders.
• Access opportunities for professional growth within R1.
• Work with a collaborative team focused on patient service.

Work Environment

This is an on‑site, patient‑facing hospital role that requires regular travel between multiple floors and in‑person visits with patients in their rooms. You may work around illnesses or injuries, support patients during stressful situations, and spend much of the day moving throughout the facility.

• Facility vaccination requirements may apply, including an annual flu vaccination.
• A background check and drug screening may be required before hire.
• Reasonable accommodations may be provided to qualified individuals.

About R1

R1 provides technology‑driven revenue cycle solutions that help hospitals, health systems, and medical groups improve the patient experience and financial performance.

R1 is an equal opportunity employer and does not discriminate on the basis of any protected status.

For this US‑based position, the base pay range is $18.59 - $25.44 per hour. Individual pay is determined by role, level, location, job‑related skills, experience, and relevant education or training.

The healthcare system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can keep up. On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career.

Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team — including offering a competitive benefits package.

R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices, including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.

If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.

CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent

To learn more, visit: R1RCM.com

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