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Ensemble Health Partners · 21 hours ago

Financial Counselor

Greenville, SC

Full-time

Onsite

Entry Level

$18.65/hr - $19.90/hr

1+ years exp

Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. The Financial Counselor role is responsible for reviewing benefits and collecting patient liabilities while ensuring compliance with financial assistance policies.

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