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Ensemble Health Partners · 2 hours ago

Financial Counselor

Germantown, TN

Full-time

Onsite

Entry Level

$18.15/hr - $19.40/hr

1+ years exp

Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems. The Financial Counselor role is responsible for reviewing patient benefits, collecting liabilities, and ensuring compliance with financial assistance policies while providing exceptional service to clients and patients.

Health CareHospitality

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

Qualification

CRCR certificationMedicare & Medicaid knowledgeCustomer service experienceBilling processesCommunication skillsProblem-solving skills

Required

High School Diploma/GED Required

CRCR Required within 9 months of hire

1 - 3 years of customer service experience

Preferred

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

Benefits

Bonus Incentives

Paid Certifications

Tuition Reimbursement

Comprehensive Benefits

Career Advancement

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.

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.