Financial Counselor

Overview

Thank you for considering a career at Ensemble Health Partners! 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!

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.

CAREER OPPORTUNITY OFFERING:

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

The Financial Counselor (FC) role is responsible for the review of benefits and collection of bedded patient (inpatient, observation or bedded outpatient) liability inclusive of previous balances throughout Ensemble Health Partners. This role includes essential reporting and auditing, and has a comprehensive understanding of the client’s financial assistance (FA) policy to offer the FA application, explain its contents, and answer questions.

The FC will work within the policies and processes as they are performed across the organization.

• Obtain patient insurance and financial information to determine estimates and collect on estimated patient liabilities (including copays, deductibles, coinsurance, and past due/outstanding balances after financial assistance has been applied) and meet daily POS collection goals.
• Notify recently discharged (within 7 days) bedded patients that did not pay estimated liabilities, including attempts and notations.
• Partner in daily cashiering responsibilities, including daily cash reconciliation and daily deposit functions.
• Manage flat-rate contracts, bundled services, and all applicable self-pay options.
• Facilitate internal and external communication with key stakeholders on case statuses and escalations.
• Collaborate with Case Management and/or Utilization Management regarding regulatory form completion (e.g., HINNs, LTR declinations).
• Run, monitor, and work on the missed collection opportunities report for process improvements and follow-up, making documented attempts to contact patients when listed as inpatient.
• Maintain client and/or Ensemble-specific work queues, including unbilled edits.
• Complete follow-up reports as assigned (e.g., next-day verification, denial root cause analysis).
• Manage communications with patients unable to make payments while in-house.
• Ensure completion of all required registration-related consents/forms at or after patient admission.
• Develop and submit CFO escalations of uncollected estimated liabilities per financial clearance policies.
• Assist eligibility specialists in verifying insurance information (Medicaid and charity processing, payor searches for secondary coverages, COB coordination).
• Work daily queues to complete, update, and clear unbilled accounts as needed and assigned.

• 1 - 3 years of customer service experience

• High School Diploma/GED Required
• CRCR Required within 9 months of hire (Company Paid)

• Have a basic understanding of Medicare & Medicaid benefits
• Labor & Delivery benefits
• Understanding and explaining EOBs
• Grants and research
• Black Lung qualification
• COBRA benefits
• Healthcare Sharing Ministry coverages
• Billing and back-end processes
• DEERS process

Five-time winner of “Best in KLAS” , ;
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