Financial Counselor

Financial Counselor

Ensemble 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 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. Additionally, this position includes conducts 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 any questions. The FC is responsible for performing these functions while meeting the mission of Ensemble Health Partners and all regulatory compliance requirements. The FC will work within the policies and processes as they are being performed across the entire organization.

Job Responsibilities:

• Responsible for obtaining patient insurance and financial information to determine estimates and collect on estimated patient liabilities (including copays, deductibles, co-insurance, and past due/outstanding balances after financial assistance has been applied) and meeting assigned daily point of service (POS) collection goals.
• Carry out notifications to recently discharged (within 7 days) bedded patients that did not pay estimated liabilities including attempts within account notations.
• Partner in daily cashiering responsibilities as assigned by client, including but not limited to daily cash reconciliation and daily deposit functions.
• Responsible for 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, including but not limited to Hospital Inpatient Notices of Non-Coverage (HINNs), Lifetime Reserve Day (LTR) declinations, etc.
• Responsible for running, monitoring, and working on the missed collection opportunities report for potential process improvements and follow-up, making at least three documented attempts each day to visit or contact patients when listed in an inpatient status.
• Maintain Client and/or Ensemble-specific work queues as applicable to the FC role, including unbilled edits.
• Completes various follow-up reports as assigned including but not limited to accounts requiring next-day verification and denial root cause analysis.
• Manage communications with patients that are 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 in compliance with existing financial clearance policies.
• Assists eligibility specialists in the verification of insurance information such as: Medicaid and charity processing, complete payor searches for secondary coverages, query coverage for self-pay patients and provide coordination of benefits education.
• Work daily queues to complete, update, and clear any unbilled accounts as needed and assigned.

Experience We Love:

• 1 - 3 years of customer service experience
• Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences

Required Qualifications:

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

Other Preferred Knowledge, Skills and Abilities:

• Have a basic understanding of the following based on prior work:
• 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
• Defense Enrollment Eligibility Reporting Systems (DEERS) process

Join an award-winning company:

• Five-time winner of "Best in KLAS" 2020-2022, 2024-2025
• Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024
• 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024
• Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024
• Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023
• Energage Top Workplaces USA 2022-2024
• Fortune Media Best Workplaces in Healthcare 2024
• Monster Top Workplace for Remote Work 2024
• Great Place to Work certified 2023-2024

Innovation, Work-Life Flexibility, Leadership, Purpose + Values

Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:

• 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 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 also prohibits harassment of applicants or employees based on any of these protected categories.

Ensemble 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 View email address on talent.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.

Employment Disclaimers Ensemble