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Financial Counseling Specialist
Ensemble Health Partners. Review benefits and collect inpatient, observation, and bedded outpatient patient liabilities, including previous balances .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient liability management, insurance verification, and billing processes, with a strong focus on achieving collection goals and collaborating with stakeholders. Proficient in handling regulatory forms and understanding various healthcare benefits, including Medicare and Medicaid.
Highest-signal resume keywords
Patient Liability ManagementInsurance VerificationCRCR CertificationBilling ProcessesCustomer Service Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Patient Insurance Information CollectionCopay and Deductible EstimationCash ReconciliationDenial Root Cause AnalysisEOB ExplanationBilling Process UnderstandingFlat-Rate Contract ManagementBundled Services ManagementSelf-Pay Options ManagementRegulatory Form Collaboration
Soft Skills
InquisitivenessOpenness to InnovationCommunication Skills
Tools & Technologies
Ensemble Work QueuesDaily Cash Reconciliation Tools
Certifications & Qualifications
CRCR Certification
Industry Keywords
Medicare BenefitsMedicaid BenefitsLabor & Delivery BenefitsCOBRA BenefitsHealthcare Sharing Ministry CoveragesDEERS ProcessGrants and Research KnowledgeBlack Lung Qualification
About the role
Key responsibilities & impact- Review benefits and collect inpatient, observation, and bedded outpatient patient liabilities, including previous balances
- Obtain patient insurance and financial information to estimate and collect copays, deductibles, coinsurance, and outstanding balances
- Meet assigned daily point-of-service collection goals
- Notify recently discharged patients of unpaid estimated liabilities and document account-notated contact attempts
- Support cashiering, daily cash reconciliation, and deposit functions
- Manage flat-rate contracts, bundled services, and self-pay options
- Communicate with internal and external stakeholders regarding case statuses and escalations
- Collaborate with Case Management and Utilization Management on regulatory forms
- Monitor missed collection opportunity reports and contact or visit listed inpatient patients at least three times daily
- Maintain client and Ensemble work queues, including unbilled edits
- Complete follow-up reports, next-day verification, and denial root cause analysis
- Manage communications with in-house patients unable to make payments
- Complete registration-related consents and forms at or after admission
- Submit CFO escalations for uncollected estimated liabilities
- Assist eligibility specialists with insurance verification, Medicaid and charity processing, secondary coverage searches, self-pay coverage queries, and coordination-of-benefits education
- Work daily queues to update and clear unbilled accounts
Requirements
What you’ll need- 1–3 years of customer service experience
- High School Diploma/GED required
- CRCR required within 9 months of hire
- Inquisitiveness and openness to innovation, including AI
- Basic understanding of Medicare and Medicaid benefits
- Basic understanding of Labor & Delivery benefits
- Understanding and explaining EOBs
- Knowledge of grants and research
- Knowledge of Black Lung qualification
- Knowledge of COBRA benefits
- Knowledge of Healthcare Sharing Ministry coverages
- Understanding of billing and back-end processes
- Knowledge of DEERS process
- Must reside in and be authorized to work within the United States
Benefits
Comp & perks- Bonus Incentives
- Paid certifications
- Tuition reimbursement
- Comprehensive benefits package including healthcare, time off, retirement, and well-being programs
- Career advancement opportunities
- Professional development
- Quarterly and annual incentive programs
- Company-paid CRCR certification within 9 months of hire
- Work-life flexibility