Ensemble Health Partners अस्पतालों, स्वास्थ्य प्रणालियों और उनसे संबद्ध चिकित्सक समूहों के लिए राजस्व चक्र प्रबंधन सेवाएँ प्रदान करता है। इसकी एंड-टू-एंड सेवाओं में अनुभवी और प्रमाणित राजस्व चक्र पेशेवरों को उन्नत तकनीक तथा एआई के साथ जोड़ा गया है, जिससे स्वास्थ्य सेवा संगठन वसूली में सुधार कर सकें, अस्वीकृत दावों और कम भुगतानों का समाधान कर सकें, लागतों पर नियंत्रण रख सकें और मरीजों के लिए अधिक सुसंगत वित्तीय अनुभव तैयार कर सकें। कंपनी प्रदाता संगठनों के साथ निकटता से काम करके वित्तीय संचालन को मजबूत करने और टिकाऊ विकास में सहायता करती है।
Financial Counseling Specialist - Youngstown, OH (Onsite)
Provide benefit education, insurance validation, authorization support, and patient-liability collection at Mercy - St Elizabeth Youngstown Hospital. Support Ensemble Health Partners’ technology-enabled healthcare revenue cycle operations.
विवरण
- Educate inpatient patients about their benefits and validate coverage.
- Review inpatient benefits in person, secure authorizations, and collect liabilities for inpatient, observation, and outpatient-in-bed services.
- Verify and calculate patient liabilities, including prior balances.
- Collect copayments, deductibles, coinsurance, and balances remaining after financial assistance.
- Evaluate insurance and financial information to determine patient responsibility.
- Meet with patients during their stay to collect estimated liabilities.
- Complete assigned patient access, insurance eligibility, and follow-up reports.
- Lead daily in-house call reviews to confirm payer sources and authorizations.
- Handle preregistration and registration activities, including patient registration and liability collection.
- Track missed collection opportunities and make at least three daily room visits when needed.
- Document patient liability on all applicable accounts each day.
- Call in-house patients who cannot pay during their stay for follow-up.
- Send post-discharge letters explaining estimated liability and payment options.
- Obtain signatures for consent to treat, observation, Important Message from Medicare, and other registration documents.
- Support insurance verification, Medicaid and charity processing, and related activities.
- Run a daily census to identify patients who may qualify for assistance.
- Collect and organize outpatient orders through Revenue Cycle system queues.
आवश्यकताएँ
- At least one year of customer service experience.
- High school diploma or GED required.
- CRCR certification is required within six months of hire; the company pays for the certification.
- Curiosity and openness to innovation, including AI, are required.
- Must work onsite at Mercy - St Elizabeth Youngstown Hospital in Youngstown, Ohio.
- Must reside in and be authorized to work in the United States.
- Full-time availability is required Monday through Friday, 8:30 a.m. to 5 p.m.
- Nights, weekends, and holidays may be required as needed.
लाभ
- Bonus incentives.
- Paid certifications.
- Tuition reimbursement.
- Comprehensive healthcare, time-off, retirement, and well-being programs.
- Career advancement opportunities.
- Professional development and a relevant professional certification.
- Quarterly and annual incentive programs.
- Reasonable accommodations for qualified individuals with disabilities.