Ensemble Health Partners shifoxonalar, sog‘liqni saqlash tizimlari va ular bilan hamkorlik qiluvchi shifokorlar guruhlari uchun daromadlar siklini boshqarish xizmatlarini taqdim etadi. Kompaniyaning boshidan oxirigacha bo‘lgan yechimlari tajribali, sertifikatlangan daromadlar siklini boshqarish mutaxassislarini ilg‘or texnologiyalar va sun’iy intellekt bilan birlashtirib, tibbiyot tashkilotlariga tushumlarni yaxshilash, rad etilgan da’volar va kam to‘langan summalar bilan ishlash, xarajatlarni nazorat qilish hamda bemorlarning moliyaviy tajribasini yanada izchil qilishga yordam beradi. Kompaniya tibbiy xizmat ko‘rsatuvchi tashkilotlar bilan yaqindan hamkorlik qilib, moliyaviy operatsiyalarni mustahkamlash va barqaror o‘sishni qo‘llab-quvvatlashga ko‘maklashadi.
Financial Counseling Specialist - Newport News, VA (Onsite)
Provide financial counseling for inpatient and outpatient accounts at Bon Secours - Mary Immaculate Hospital. Handle insurance verification, patient liability collection, financial assistance, cashiering, and revenue-cycle compliance for Ensemble Health Partners.
Tavsif
- Review benefits and collect inpatient liabilities, including prior balances
- Gather insurance and financial details to prepare estimates and collect patient payments
- Achieve daily point-of-service collection targets
- Contact recently discharged patients within seven days about unpaid estimated liabilities and record each outreach attempt
- Handle cashiering duties, including cash reconciliation and daily deposits
- Administer flat-rate contracts, bundled services, and self-pay arrangements
- Update stakeholders on case statuses and escalations
- Partner with Case Management and Utilization Management on regulatory documentation, including HINNs and LTR declinations
- Review missed-collection reports and make at least three documented daily outreach attempts to listed inpatients
- Maintain client and Ensemble work queues, including unbilled edits
- Prepare follow-up reports, next-day verification, and denial root-cause analyses
- Communicate with in-house patients who are unable to make payments
- Complete registration consents and related forms at or after admission
- Prepare and submit CFO escalations for uncollected estimated liabilities
- Support eligibility specialists with insurance verification, Medicaid and charity processing, payer searches, self-pay coverage inquiries, and coordination-of-benefits education
- Process daily queues to complete, update, and clear unbilled accounts
Talablar
- One to three years of customer service experience
- Curiosity and openness to innovation, including AI tools
- High school diploma or GED
- CRCR certification required within nine months of hire; certification is company-paid
- Basic knowledge of Medicare and Medicaid benefits
- Basic knowledge of Labor & Delivery benefits
- Ability to interpret and explain EOBs
- Knowledge of grants and research
- Knowledge of Black Lung qualification
- Knowledge of COBRA benefits
- Knowledge of Healthcare Sharing Ministry coverage
- Knowledge of billing and back-end processes
- Knowledge of the DEERS process
- Must reside in and be authorized to work in the United States
Imtiyozlar
- Bonus incentives
- Paid certification programs
- Tuition reimbursement
- Comprehensive benefits package covering healthcare, time off, retirement, and well-being programs
- Professional development and relevant professional certification opportunities
- Quarterly and annual incentive programs
- Career advancement opportunities
- Work-life flexibility