Financial Counseling Specialist

Ensemble RCM LLC; Green Bay (WI); On-site; USD 26,000 - 27,000; Full time

Benefits offered by this job

Healthcare benefits

Tuition reimbursement

Recognition programs

Job summary

Ensemble Health Partners seeks an Inpatient Financial Counseling Specialist to educate patients on benefits and validate liabilities during hospital stays. The role will involve calculating patient liabilities, collecting payments, and coordinating with care teams to ensure accurate billing and compliance.

This is an on-site position at St. Mary’s Hospital in Green Bay, WI, with opportunities to grow and contribute to patient-focused financial services.

Qualifications

• High School Diploma or GED required.
• CRCR certification required within 6 months of hire (Company Paid).

Responsibilities

• Verify eligibility and calculate patient liabilities (copays, deductibles, coinsurance).
• Provide face-to-face benefit education and collect patient liabilities during inpatient stays.
• Maintain daily census, perform follow-up calls, and document accounts with patient liability.
• Collaborate with eligibility, billing, and finance teams to resolve accounts.

Skills

Customer service

AI openness

Education

High School Diploma/GED

CRCR certification within 6 months

Job description

Thank you for considering a career at Ensemble! 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. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.

The Opportunity:

This position pays between $18.65 - $19.90/hr based on experience ***This position is an onsite role, and candidates must be able to work on-site at HSHS - St. Mary's Hospital, Green Bay, WI ***

The Inpatient Financial Counseling Specialist performs the task of benefit education and validation. This includes face to face review of inpatient benefits, authorization and collecting inpatient, observation, and outpatient in a bed liability throughout Ensemble Health Partners. This position handles the accurate verification and calculation of patient liabilities including previous balances, collection of patient payments, and may require nights, weekends, and holidays, as necessary. They are responsible for performing these functions while meeting the mission of Ensemble Health Partners and all regulatory compliance requirements. The Financial Counseling Specialist will work within the policies and processes as they are being performed across the entire organization. Responsible for the assessment and collection of patient liabilities. These collections include copays, deductibles, co-insurance and balances after financial assistance. This individual is tasked with assessing patient insurance and financial information to determine liability. The Specialist in Inpatient Collections will 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.

Experience We Love:

• 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

Required Qualifications:

• High School Diploma/GED
• Required CRCR (Certified Revenue Cycle Representative) Required within 6 months of hire (Company Paid)

Join an award-winning company

• Five-time winner of “Best in KLAS” 2020-2022, 2024-2025
• Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024
• 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024
• Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024
• Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023
• Energage Top Workplaces USA 2022-2024
• Fortune Media Best Workplaces in Healthcare 2024
• Monster Top Workplace for Remote Work 2024
• Great Place to Work certified 2023-2024
• Innovation Work-Life Flexibility Leadership Purpose + Values

Our Culture

Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:

• Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well‑being programs.
• Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
• Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.

Ensemble is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws.

Ensemble also prohibits harassment of applicants or employees based on any of these protected categories.

Due to business, operational, payroll, and regulatory requirements, this position is limited to individuals who reside and are authorized to work within the United States. Applications generated from outside the United States will not be considered. Individuals may reapply when located within the United States.

Ensemble provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact [e-mail].

This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role’s range.

Ensemble is dedicated to providing our clients with experienced healthcare finance and revenue cycle professionals. We believe that our core values of trust, integrity, loyalty and service married with the belief that our work is worthwhile helps us build and sustain sincere relationships with our associates and clients.

If you are a passionate, dedicated and experienced revenue cycle, consulting or finance professional and seek career and personal growth, we would love to hear from you. We believe we foster an environment where talented individuals can excel and shine. Our team believes that people are the most important part of our success and that when we take care of our people, they pay it forward by providing our clients with excellent results and world‑class service.