Current jobs related to Revenue Cycle Specialist - Lorain, Ohio - Ensemble Health Partners

Thank you for considering a career at Ensemble Health Partners.

Ensemble Health Partners is a premier provider of technology-driven revenue cycle management solutions tailored for healthcare systems, including hospitals and affiliated physician groups.

We deliver comprehensive revenue cycle solutions along with a wide array of point solutions to clients nationwide.

Our mission is to maintain community health by ensuring the vitality of hospitals. We understand that healthcare necessitates a personal touch, and we are committed to making every interaction significant. This is why our workforce is the cornerstone of our identity. By empowering our team to challenge conventional practices, we believe they will drive meaningful change.

The Opportunity:

CAREER OPPORTUNITY OFFERING:
Bonus Incentives
Paid Certifications
Tuition Reimbursement

The Financial Counselor (FC) position entails reviewing benefits and collecting financial obligations from hospitalized patients (inpatient, observation, or bedded outpatient), including any outstanding balances.

This role also involves conducting vital reporting and auditing, alongside a thorough understanding of the client's financial assistance (FA) policy to facilitate the FA application process, clarify its details, and address any inquiries.

The FC is tasked with executing these responsibilities while upholding the mission of Ensemble Health Partners and adhering to all regulatory compliance standards.

Essential Job Functions:

• Obtain patient insurance and financial data to ascertain estimates and collect on anticipated patient liabilities (including copays, deductibles, co-insurance, and outstanding balances after financial assistance has been applied) while achieving assigned daily point of service (POS) collection targets.

• Notify recently discharged (within 7 days) hospitalized patients regarding unpaid estimated liabilities, including making attempts within account notations.

• Collaborate in daily cashiering tasks as assigned by the client, including daily cash reconciliation and deposit functions.

• Manage flat-rate contracts, bundled services, and all relevant self-pay options.

• Facilitate communication with key stakeholders regarding case statuses and escalations.

• Work alongside Case Management and/or Utilization Management to complete regulatory forms, including Hospital Inpatient Notices of Non-Coverage (HINNs) and Lifetime Reserve Day (LTR) declinations.

• Monitor and address missed collection opportunities for potential process enhancements, making at least three documented attempts daily to contact patients listed in an inpatient status.

• Maintain Client and/or Ensemble-specific work queues relevant to the FC role, including unbilled edits.

• Complete various follow-up reports as assigned, including accounts requiring next-day verification and denial root cause analysis.

• Manage communications with patients unable to make payments while in-house.

• Ensure all necessary registration-related consents/forms are completed at or after patient admission.

• Develop and submit CFO escalations for uncollected estimated liabilities in accordance with existing financial clearance policies.

• Assist eligibility specialists in verifying insurance information, including Medicaid and charity processing, conducting thorough payor searches for secondary coverages, and providing coordination of benefits education.

• Work daily queues to complete, update, and resolve any unbilled accounts as necessary and assigned.

Desired Work Experience:
1 to 3 Years

Other Preferred Knowledge, Skills and Abilities:
• Basic understanding of the following based on prior experience:
• Labor & Delivery benefits
• Understanding and explaining EOBs
• Grants and research
• Healthcare Sharing Ministry coverages
• Billing and back-end processes
• Defense Enrollment Eligibility Reporting Systems (DEERS) process

Join an award-winning company recognized for excellence in the healthcare industry.

A few of those include:

Associate Benefits:

We provide a comprehensive benefits package designed to support the physical, emotional, and financial well-being of you and your family, including healthcare, time off, retirement, and wellness programs.

Our Culture:

Ensemble is a workplace where associates can excel and be their authentic selves. We prioritize people, fostering a culture 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 access tuition reimbursement.

Recognition:

We offer quarterly and annual incentive programs for all employees who consistently exceed expectations and elevate the standards for themselves and the organization.

Ensemble Health Partners is an equal employment opportunity employer.

We are committed to maintaining a workplace free from discrimination 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 laws.

Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.

We provide reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local laws.

If you require accommodation in the application process, please reach out.

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