Financial Counseling Specialist

ensemblehp; Youngstown (OH); Presencial; USD 26.000 - 27.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Bonus Incentives

Paid Certifications

Tuition Reimbursement

Comprehensive Benefits

Career Advancement

Descripción de la vacante

Ensemble Health Partners in Youngstown, OH is seeking an Inpatient Financial Counseling Specialist to educate patients on benefits and validate coverage during hospital stays. This onsite role at Mercy - St Elizabeth Youngstown Hospital may require night, weekend, and holiday coverage.

You will verify patient liabilities, collect payments, assist with pre-registration, and coordinate with eligibility, charity, and billing teams.

Formación

• 1+ years of customer service experience.
• Willingness to embrace AI to improve processes.
• CRCR (Certified Revenue Cycle Representative) must be obtained within 6 months of hire (Company Paid).

Responsabilidades

• Educate and validate inpatient benefits and liabilities.
• Verify and calculate patient liabilities including balances.
• Perform pre-registration and registration tasks at service time.
• Make at least 3 attempts daily to visit patients' rooms.
• Follow up with patients by phone and mail regarding payments.

Conocimientos

Customer service

Curiosity / AI openness

Educación

High School Diploma/GED

Descripción del empleo

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 Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement

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 Mercy - St Elizabeth Youngstown Hospital in Youngstown, OH

Schedule: Full Time, M-F 8:30am - 5pm

Responsibilities

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 Matri