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Ensemble Health Partners

End-to-end revenue cycle management for hospitals

Financial Counseling Specialist

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours
Full-timeNewport News, VA, USA$18.65 - $19.90

About the Job

Requirements

  • Have 1–3 years of customer service experience.
  • Be inquisitive and open to innovation, including using artificial intelligence to explore improved processes and reduce friction for patients and clients.
  • Have a high school diploma or GED.
  • Obtain the Certified Revenue Cycle Representative (CRCR) certification within 9 months of hire; the company pays for it.
  • Preferred knowledge includes Medicare and Medicaid benefits, Labor & Delivery benefits, understanding and explaining Explanation of Benefits (EOBs), grants and research, Black Lung qualification, COBRA benefits, Healthcare Sharing Ministry coverages, billing and back-end processes, and the Defense Enrollment Eligibility Reporting Systems (DEERS) process.

Responsibilities

  • Obtain patient insurance and financial information to determine estimates and collect estimated patient liabilities, including copays, deductibles, coinsurance, and past-due or outstanding balances after financial assistance has been applied, while meeting assigned daily point-of-service collection goals.
  • Notify recently discharged bedded patients who did not pay estimated liabilities within 7 days of discharge, and document attempts in account notations.
  • Partner in daily cashiering responsibilities as assigned by the client, including daily cash reconciliation and deposit functions.
  • Manage flat-rate contracts, bundled services, and applicable self-pay options.
  • Facilitate internal and external communications with key stakeholders about case statuses and escalations.
  • Collaborate with Case Management and/or Utilization Management on regulatory form completion, including Hospital Inpatient Notices of Non-Coverage (HINNs) and Lifetime Reserve Day (LTR) declinations.
  • Run, monitor, and work the missed collection opportunities report to identify potential process improvements and follow up; make at least three documented attempts each day to visit or contact patients listed in inpatient status.
  • Maintain client- and/or Ensemble-specific work queues applicable to the Financial Counselor role, including unbilled edits.
  • Complete assigned follow-up reports, including reports for accounts requiring next-day verification and denial root cause analysis.
  • Communicate with patients who are unable to make payments while in-house.
  • Ensure all required registration-related consents and forms are completed at or after patient admission.
  • Develop and submit CFO escalations for uncollected estimated liabilities in compliance with existing financial clearance policies.
  • Assist eligibility specialists in verifying insurance information, including 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 assigned unbilled accounts as needed.

Desired Qualifications

  • Have a basic understanding of Medicare and Medicaid benefits, Labor & Delivery benefits, Explanation of Benefits (EOBs), grants and research, Black Lung qualification, COBRA benefits, Healthcare Sharing Ministry coverages, billing and back-end processes, and the Defense Enrollment Eligibility Reporting Systems (DEERS) process.

About the Company

Ensemble Health Partners

End-to-end revenue cycle management for hospitals

Ensemble Health Partners provides end-to-end revenue cycle management for hospitals and health systems. It handles the entire process from patient intake to final payment, with teams and technology embedded into the provider's operations and a revenue model tied to performance improvements. The company uses its proprietary EIQ platform (analytics, AI, and workflow automation) to optimize revenue cycle processes, reduce insurance denials, and speed cash collection, managing more than $39 billion in net patient revenue. Its approach differentiates it by being a true managed-services partner with full accountability for financial outcomes and a track record of meeting initial client goals. The overarching goal is to improve healthcare providers’ financial performance so they can focus on patient care.

Company size
5,001-10,000
Company stage
Not listed
Total funding
Not listed
Headquarters
Cincinnati, OH
Founded
2014

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