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Patient Financial Services Specialist

2 months ago

Youngstown, Ohio, United States Ensemble Health Partners Full time

Thank you for considering a career at Ensemble Health Partners

Ensemble Health Partners stands at the forefront of technology-driven revenue cycle management solutions tailored for healthcare systems, including hospitals and affiliated physician groups. We provide comprehensive revenue cycle solutions alongside a diverse range 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 believe that every interaction should be significant. This belief underscores the importance of our workforce, as they are the core of our identity. By empowering our team to challenge conventional practices, we are confident they will drive meaningful change.

The Opportunity:

Career Opportunity Highlights:

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

***This position requires on-site presence at designated healthcare facilities.***

The Inpatient Financial Counseling Specialist is responsible for educating patients about their benefits and validating coverage. This role involves direct interaction with patients to review inpatient benefits, obtain authorizations, and manage financial liabilities related to inpatient, observation, and outpatient services throughout Ensemble Health Partners. This position requires precise verification and calculation of patient liabilities, including previous balances and collection of payments, with the possibility of working evenings, weekends, and holidays as needed. The Financial Counseling Specialist must perform these duties while adhering to Ensemble Health Partners' mission and all regulatory compliance standards. The responsibilities include:

  • Assessing and collecting patient liabilities, including copays, deductibles, co-insurance, and balances after financial assistance. This role requires evaluating patient insurance and financial information to determine liabilities, utilizing face-to-face communication with patients during their stay.
  • Managing various patient access, insurance eligibility, and follow-up reports as assigned.
  • Facilitating daily in-house call reviews with all relevant parties to ensure patients have valid payer sources with authorization for their current stay.
  • Completing pre-registration and registration tasks, including registering patients at the time of service or prior to service while attempting to collect the patient's financial liability.
  • Monitoring missed collection opportunities for potential process improvements and ensuring follow-up with patients.
  • Documenting all accounts with patient liabilities on a daily basis.
  • Making follow-up calls to patients unable to make payments while in-house.
  • Sending letters to patients post-discharge detailing estimated liabilities and payment options.
  • Assisting patients in signing consent forms and other registration-related documents as necessary.
  • Supporting eligibility specialists in verifying insurance information, Medicaid, and charity processing.
  • Running daily census reports to identify patients with potential eligibility.
  • Assisting in the organization of outpatient orders related to current and future service dates.

Experience We Value:

  • 1+ years of customer service experience

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

Ensemble Health Partners has been recognized multiple times for excellence in the healthcare industry, including:

  • Three-time winner of "Best in KLAS"
  • Top Workplaces Healthcare Industry Award
  • Top Workplaces USA Award
  • Top Workplaces Culture Excellence Awards

We believe in empowering our associates and providing them with the necessary tools and resources to thrive. Some of the benefits we offer include:

  • Associate Benefits: 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 best selves, rooted in collaboration, growth, and innovation.
  • Growth: We invest in your professional development, offering opportunities for certification and tuition reimbursement.
  • Recognition: We provide quarterly and annual incentive programs for employees who consistently exceed expectations.

Ensemble Health Partners is an equal employment opportunity employer. We do not 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 laws. We also prohibit harassment based on 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 laws.