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Ensemble Health Partners provides revenue cycle management services for hospitals, health systems, and affiliated physician groups. Its end-to-end offering combines experienced, certified revenue cycle professionals with advanced technology and AI to help healthcare organizations improve collections, address denials and underpayments, control costs, and create a more consistent patient financial experience. The company works closely with provider organizations to strengthen financial operations and support sustainable growth.
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.
Description
- 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.
Requirements
- 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.
Benefits
- 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.
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