Financial Counseling Representative

R1 RCM Holdco Inc.; United States; On-site; USD 34,000 - 45,000; Full time

Job summary

R1 RCM Holdco Inc. is seeking a Financial Counseling Representative for an on-site role at Ascension St. Thomas Midtown Hospital in Nashville, TN. You will travel between hospital floors to assist patients with financial review and available resources.

Responsibilities include screening for Medicaid, Marketplace, and hospital financial assistance, helping patients complete applications, and clearly explaining coverage options and next steps. This position emphasizes patient-centered service.

Qualifications

• High school diploma or GED required.
• Strong customer service and communication abilities.
• Ability to discuss sensitive personal and financial information with professionalism.
• Ability to explain complex information in clear, simple language.
• Detail-oriented with ability to manage multiple systems and priorities.
• Ability to work on-site and move between hospital floors.

Responsibilities

• Visit uninsured patients to review their financial needs and resources.
• Screen for Medicaid, Marketplace, and hospital financial assistance eligibility.
• Help patients complete applications and gather required documents.
• Explain coverage options, steps, and next steps clearly.
• Discuss estimated patient responsibility and payment options.
• Track application status and document activity accurately.
• Protect patient privacy and coordinate with clinical and revenue teams.
• Balance compassion, accuracy, and productivity in a fast-paced hospital setting.

Skills

Customer service

Communication

Interpersonal skills

Compassion

Explain complexity clearly

Attention to detail

Multitasking

Education

High school diploma or GED

Job description

Financial Counseling Representative On-site | Nashville, TN | Ascension St. Thomas Midtown Hospital

Schedule: Monday-Friday 8am-4:30pm | Job type: Full Time | Pay: $19 hourly ($39,520 Annually)

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 $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, 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.

R1 is the leader in healthcare revenue management, helping providers achieve new levels of performance through smart orchestration. A pioneer in the industry, R1 created the first Healthcare Revenue Operating System: a modular, intelligent platform that integrates automation, AI, and human expertise to strengthen the entire revenue cycle. With more than 20 years of experience, R1 partners with 1,000 providers, including 95 of the top 100 U.S. health systems, and handles over 270 million payer transactions annually. This scale provides unmatched operational insight to help healthcare organizations unlock greater long-term value. To learn more, visit: https://www.r1rcm.com.