On-Site Hospital Financial Counselor

R1 RCM, Inc.; Austin (TX); On-site; USD 26,000 - 35,000; Full time

Job summary

R1 RCM, Inc. is seeking a Financial Counseling Representative to support uninsured and underinsured patients at Ascension Dell Seton Medical Center in Austin.

The role requires travel between hospital floors to meet patients, assess eligibility for Medicaid or Marketplace coverage, help with applications, and explain financial responsibilities clearly and compassionately. You will collaborate with clinical and revenue cycle teams, protect patient privacy, and maintain accurate documentation

Qualifications

• High school diploma or GED required.
• 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.
• Attention to detail and ability to manage multiple systems and priorities.
• Ability to work on-site and meet patients in their rooms across a hospital setting.

Responsibilities

• Travel between hospital floors to visit uninsured and underinsured patients in their rooms.
• Screen for Medicaid, Marketplace, hospital financial assistance, or similar programs.
• Help patients complete applications and collect required documents.
• Explain coverage options, steps, and next steps clearly.
• Discuss estimated patient responsibility and available payment options; collect amounts due respectfully.
• Track application status and document activity accurately; protect patient privacy.

Skills

Customer service

Communication

Interpersonal skills

Compassion

Attention to detail

Multi-system navigation

Education

High school diploma or GED

Job description

R1 RCM, Inc. is seeking a Financial Counseling Representative to support uninsured and underinsured patients at Ascension Dell Seton Medical Center in Austin.

The role requires travel between hospital floors to meet patients, assess eligibility for Medicaid or Marketplace coverage, help with applications, and explain financial responsibilities clearly and compassionately. You will collaborate with clinical and revenue cycle teams, protect patient privacy, and maintain accurate documentation