Financial Counseling Specialist

Ensemble Health Partners; Lewiston (ME); Presencial; USD 26.000 - 27.000; Tempo integral

Benefícios oferecidos por esta vaga

Bonus incentives

Paid certifications

Tuition reimbursement

Comprehensive benefits

Career advancement

Resumo da vaga

Ensemble Health Partners seeks a Financial Counseling Specialist to assist patients in understanding and managing their financial obligations for healthcare services on-site at Covenant-St Marys in Lewiston, ME. You will review benefits, estimate patient liabilities, and arrange payments while ensuring policy compliance.

Requirements include 1+ year of customer service, a High School Diploma or GED, and CRCR certification within 6 months (company paid).

Qualificações

• 1+ years of customer service experience.
• CRCR certification required within 6 months (company paid).
• Curious and open to AI to explore better processes and reduce friction.

Responsabilidades

• Assess and collect patient liabilities including copays, deductibles, and balances.
• Explain benefits and set up payment arrangements in line with policies.
• Verify insurance information and assist with Medicaid/charity processing.
• Maintain daily notes and monitor missed collection opportunities for process improvements.
• Interact with patients face-to-face during stay to estimate liability and collect payments.

Conhecimentos

Customer service

AI-driven improvement

Communication

Formação

High School Diploma/GED

CRCR Certification

Descrição da vaga

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:CAREER OPPORTUNITY OFFERING:Bonus IncentivesPaid CertificationsTuition ReimbursementComprehensive BenefitsCareer AdvancementThis 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 Covenant-St Marys in Lewiston, ME****The Financial Counseling Specialist is responsible for assisting patients in understanding and managing their financial obligations related to healthcare services. Focuses on reviewing benefits, estimating patient liabilities, and facilitating payment arrangements while ensuring compliance with organizational policies and regulatory requirements.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 in-house 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 payWorks 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.Required Experience:1+ years of customer service experienceMust be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiencesRequired Qualifications:High School Diploma/GED RequiredCRCR (Certified Revenue Cycle Representative) Required within 6 months of hire (Company Paid)Join an award-winning companyFive-time winner of “Best in KLAS” 2020-2022, 2024-2025Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-202422 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023Energage Top Workplaces USA 2022-2024Fortune Media Best Workplaces in Healthcare 2024Monster Top Workplace for Remote Work 2024Great Place to Work certified 2023-2024InnovationWork-Life FlexibilityLeadershipPurpose + ValuesBottom 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.Our Culture – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.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] 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.Employment Disclaimers – Ensemble