Ensemble Health Partners oferă servicii de gestionare a ciclului veniturilor pentru spitale, sisteme de sănătate și grupuri de medici afiliate. Oferta sa integrată combină profesioniști cu experiență și certificați în gestionarea ciclului veniturilor cu tehnologii avansate și inteligență artificială, pentru a ajuta organizațiile din domeniul sănătății să îmbunătățească încasările, să soluționeze refuzurile și plățile insuficiente, să controleze costurile și să creeze o experiență financiară mai consecventă pentru pacienți. Compania colaborează îndeaproape cu organizațiile furnizorilor de servicii medicale pentru a consolida operațiunile financiare și a sprijini creșterea durabilă.
Onsite Financial Counselor — Charleston, SC
Support hospital admissions by estimating and collecting patient balances, verifying insurance, and assisting with financial assistance and account follow-up. The role also handles cashiering, registration paperwork, and coordination with care teams.
Descriere
- Review patient benefits and collect balances for admitted patients, including prior amounts owed.
- Gather insurance and financial details to estimate and collect patient balances.
- Meet daily point-of-service collection targets.
- Contact recently discharged patients about unpaid estimated balances within seven days.
- Handle cashiering, including daily cash reconciliation and deposits.
- Manage flat-rate contracts, bundled services, and self-pay arrangements.
- Share case updates and escalation details with internal and external stakeholders.
- Coordinate regulatory forms with Case Management and Utilization Management.
- Track missed collection opportunities and document at least three patient contact attempts each day.
- Maintain client and Ensemble work queues, including edits for unbilled accounts.
- Prepare follow-up reports, complete next-day verification, and analyze denial root causes.
- Communicate with patients who cannot pay while admitted.
- Complete registration consents and forms at or after admission.
- Prepare and submit CFO escalations for estimated balances that remain unpaid.
- Assist eligibility specialists with insurance checks, Medicaid and charity processing, searches for secondary coverage, self-pay coverage inquiries, and coordination-of-benefits guidance.
- Work daily queues to update and clear unbilled accounts.
Cerințe
- Bring 1–3 years of customer service experience.
- Have a high school diploma or GED.
- Earn the company-paid CRCR certification within nine months of hire.
- Be curious and receptive to innovation, including AI.
- Understand Medicare and Medicaid benefits at a basic level.
- Understand Labor & Delivery benefits at a basic level.
- Be able to interpret and explain EOBs.
- Have knowledge of grants and research.
- Know Black Lung qualification processes.
- Know COBRA benefits.
- Know Healthcare Sharing Ministry coverage.
- Understand billing and back-end processes.
- Know the DEERS process.
- Reside in the United States and be authorized to work there.
Beneficii
- Bonus incentives.
- Paid certifications.
- Tuition reimbursement.
- Comprehensive healthcare, time off, retirement, and well-being programs.
- Career advancement opportunities.
- Professional development opportunities.
- Quarterly and annual incentive programs.
- Work-life flexibility.
- Reasonable accommodations for qualified individuals with disabilities.