Financial Counseling Representative

R1 RCM, Inc.; Nashville (TN); On-site; USD 22,000 - 31,000; Full time

Job summary

R1 RCM, Inc. is seeking a Financial Counselor for an on-site role at Ascension St. Thomas Midtown Hospital in Nashville. You will meet patients, assess eligibility for Medicaid or other aid, assist with applications, and clearly explain financial responsibilities with empathy and clarity.

Travel between hospital floors, collaborate with Patient Access and revenue cycle teams, and help patients understand coverage options while maintaining privacy and accuracy in a fast-paced setting.

Qualifications

• High school diploma or GED required.
• Strong customer service, communication, and interpersonal skills required.
• Compassion and professionalism when discussing sensitive information.
• Ability to explain complex information in clear language.
• Strong attention to detail and ability to manage multiple systems.

Responsibilities

• Travel between hospital floors to meet with patients in their rooms and assess financial needs.
• Screen for eligibility for Medicaid, Marketplace coverage, hospital financial assistance, and other programs.
• Assist patients with applications and required documents.
• Explain coverage options, steps, and next steps clearly.
• Discuss patient responsibility and payment options in a respectful, patient-centered manner.
• Track application status and follow up on missing information.
• Protect patient privacy and collaborate with clinical and revenue cycle teams.
• Balance compassionate service with accuracy and productivity in a fast-paced setting.

Skills

Customer service

Communication

Interpersonal skills

Compassion & professionalism

Explain complex information

Attention to detail

Multi-system navigation

On-site work

Education

High school diploma or GED

Job description

At R1, we’re transforming how healthcare works by combining nearly two decades of revenue cycle expertise with advanced technology, including analytics, AI, intelligent automation and workflow orchestration. We pair that technology with the irreplaceable expertise of our people to help hospitals, health systems and medical groups improve financial performance, simplify administrative complexity and create better experiences for patients and providers.

All Together Better defines our culture and the way we work. We’re a diverse, global team united by a shared mission to make healthcare work better for all. Across technology, operations and support functions, our people bring deep expertise, empathy and ingenuity to the work we do. Here, collaboration fuels progress, adaptability sparks innovation and every voice can help shape what’s next for R1 and the future of healthcare.

Financial Counseling Representative

On-site | Nashville, TN | Ascension St. Thomas Midtown Hospital
Schedule: [I Monday, Tuesday Wednesday, Saturday and Sunday 7:30 AM -4 PM (Off Thursday and Friday) | Job type: Full Time | Pay: $19 hourly ($39,520 Annually)

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

Required 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.

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 $0.00 - $0.00 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 … .

Our associates are given the chance to contribute, think boldly… .

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