Financial Counselor

CAREER OPPORTUNITY OFFERING:

• Bonus Incentives

• Paid Certifications

• Tuition Reimbursement

• Comprehensive Benefits

• Career Advancement

• This position pays between $18.65 - $19.90 based on experience

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The Opportunity:

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