Financial Counselor
1 week ago
Ensemble Health Partners 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
The Opportunity:
***This position is an on-site role, and candidates must be able to work on-site at the hospital.****
The Inpatient Financial Counselor 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 Counselor will work within the policies and processes as they are being performed across the entire organization.
Job Competencies:
- Valuing Differences - Works effectively with individuals of diverse cultures, interpersonal styles, abilities, motivations, or backgrounds; seeks out and uses unique abilities, insights, and ideas. Considers the collective.
- Collaboration - Works cooperatively within teams and partners with others, both internally and externally as needed, to achieve success; focuses on the results of the team, not the achievements of one person. It's "All for One and One for All"
- Accountability - Accepts personal responsibility and/or consequences of failure and successes, delivering on commitments and refocusing effort when needed. Someone who is willing to step up and own it.
- Time Management - Effectively manages personal time and resources to ensure that work is completed efficiently.
- Developing Trust - Gains others' confidence by acting with integrity and following through on commitments; treats others and their ideas with respect and supports them in the face of challenges.
- Takes Initiative - Takes prompt action to accomplish goals and achieve results beyond what is required; is proactive and pursues relentlessly.
- 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. When collection attempts are successful, the financial counselor must make a note of the collection. If the Financial Counselor is unable to collect payment, a note must be placed daily if the patient remains in the facility as to the reason the patient is unable to pay and including a note in the system.
- Makes follow-up phone calls to patients that are unable to make payment while in-house. Attempts to contact the patient within 24 hours' post-discharge and continue these attempts each 15 days until a collection has been made, or 2 months has elapsed.
- Sends letters to patients' addresses post-discharge detailing an estimated liability as well as options to pay. A note must be made on the patient's account when the letter is sent.
- 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. After accounts are determined, the Financial Counselor will determine benefits and liabilities for each patient.
- 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.
- 1+ years of customer service experience
- High School Diploma/GED Required
- CRCR (Certified Revenue Cycle Representative) Required within 6 months of hire
Join an award-winning company
Three-time winner of "Best in KLAS" 2020-2022
2022 Top Workplaces Healthcare Industry Award
2022 Top Workplaces USA Award
2022 Top Workplaces Culture Excellence Awards
- Innovation
- Work-Life Flexibility
- Leadership
- Purpose + Values
- 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 Health Partners 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 Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.
Ensemble Health Partners 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 TA@ensemblehp.com.
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.
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