Financial Counselor

Ensemble Health Partners; Roanoke (VA); On-site; USD 53,440,000 - 57,022,000; Full time

Benefits offered by this job

Bonus incentives

Paid certifications

Tuition reimbursement

Comprehensive benefits

Career advancement

Job summary

Ensemble Health Partners is seeking an Inpatient Financial Counseling Specialist to educate patients on inpatient benefits and collect patient liabilities during hospital stays at Roanoke, VA. This onsite role requires strong customer service and the ability to work evenings or weekends as needed.

You will verify insurance, calculate balances, and coordinate with eligibility teams to ensure accurate registration and payment processing.

Qualifications

• 1+ years of customer service experience.

Responsibilities

• Educate patients about inpatient benefits, reviews of benefits, and collect liabilities for inpatient, observation, and outpatient stays.
• Verify and calculate patient liabilities including previous balances and payments; may require nights, weekends, and holidays.
• Ensure compliance with policy and regulatory requirements across the organization.
• Assess and collect patient liabilities such as copays, deductibles, and coinsurance.
• Interact with patients to obtain consent to treat and related registration forms when applicable.
• Coordinate with eligibility specialists for insurance verification and charitable processing.

Skills

Customer service

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

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 Carilion - Roanoke Memorial Hospital in Roanoke, VA.

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

Required Qualifications

• High School Diploma/GED
• 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
• 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

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 addresses state specific requirements to provide pay transparency.

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.