Financial Counseling Representative

r1rcm; Nashville (TN); On-site; USD 36,000 - 42,000; Full time

Job summary

R1 is seeking a Financial Counselor in Nashville, on-site at Ascension St. Thomas Midtown Hospital. The role focuses on reviewing financial needs, examining eligibility for Medicaid/Marketplace, and assisting patients with applications.

You will explain coverage options, determine patient responsibility, and coordinate with Revenue Cycle teams. The position requires on-site presence across hospital floors, strong customer service skills, and the ability to move between units while maintaining

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 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.

Skills

Customer service

Communication skills

Interpersonal skills

Attention to detail

Multi-system navigation

On-site work

Education

High school diploma or GED

Job description

Financial Counselor

Location: 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)]

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.

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.

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.

If you are compassionate, detail-oriented, and ready to help patients access coverage and financial assistance.

Equal Opportunity Statement

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

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