Billing Financial Counselor

Ensemble Health Partners

Financial Counselor Opportunity Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. The Financial Counselor (FC) role is responsible for the review of benefits and collection of bedded patient (inpatient, observation or bedded outpatient) liability inclusive of previous balances throughout Ensemble Health Partners. Additionally, this position includes conducts essential reporting and auditing, and has a comprehensive understanding of the clients financial assistance (FA) policy to offer the FA application, explain its contents, and answer any questions. The FC is responsible for performing these functions while meeting the mission of Ensemble Health Partners and all regulatory compliance requirements. The FC will work within the policies and processes as they are being performed across the entire organization. Responsible for obtaining patient insurance and financial information to determine estimates and collect on estimated patient liabilities (including copays, deductibles, co-insurance, and past due/outstanding balances after financial assistance has been applied) and meeting assigned daily point of service (POS) collection goals. Carry out notifications to recently discharged (within 7 days) bedded patients that did not pay estimated liabilities including attempts within account notations. Partner in daily cashiering responsibilities as assigned by client, including but not limited to daily cash reconciliation and daily deposit functions. Responsible for flat-rate contracts, bundled services, and all applicable self-pay options. Collaborate with Case Management and/or Utilization Management regarding regulatory form completion, including but not limited to Hospital Inpatient Notices of Non-Coverage (HINNs), Lifetime Reserve Day (LTR) declinations, etc. Responsible for running, monitoring, and working on the missed collection opportunities report for potential process improvements and follow-up, making at least three documented attempts each day to visit or contact patients when listed in an inpatient status. Maintain Client and/or Ensemble-specific work queues as applicable to the FC role, including unbilled edits. Completes various follow-up reports as assigned including but not limited to accounts requiring next-day verification and denial root cause analysis. Manage communications with patients that are unable to make payments while in-house. Ensure completion of all required registration-related consents/forms at or after patient admission. Develop and submit CFO escalations of uncollected estimated liabilities in compliance with existing financial clearance policies. Work daily queues to complete, update, and clear any unbilled accounts as needed and assigned. 1 - 3 years of customer service experience High School Diploma/GED Required Grants and research Healthcare Sharing Ministry coverages Billing and back-end processes Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024 Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024 Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023 Monster Top Workplace for Remote Work 2024 Associate Benefits We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact [email protected] equity;

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Billing Financial Counselor

Ensemble Health Partners

Updated 4 months ago
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About this role

Financial Counselor Opportunity Thank you for considering a career at Ensemble Health Partners!

Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful.

The Financial Counselor (FC) role is responsible for the review of benefits and collection of bedded patient (inpatient, observation or bedded outpatient) liability inclusive of previous balances throughout Ensemble Health Partners. Additionally, this position includes conducts essential reporting and auditing, and has a comprehensive understanding of the clients financial assistance (FA) policy to offer the FA application, explain its contents, and answer any questions. The FC is responsible for performing these functions while meeting the mission of Ensemble Health Partners and all regulatory compliance requirements.

The FC will work within the policies and processes as they are being performed across the entire organization. Responsible for obtaining patient insurance and financial information to determine estimates and collect on estimated patient liabilities (including copays, deductibles, co-insurance, and past due/outstanding balances after financial assistance has been applied) and meeting assigned daily point of service (POS) collection goals. Carry out notifications to recently discharged (within 7 days) bedded patients that did not pay estimated liabilities including attempts within account notations.

Partner in daily cashiering responsibilities as assigned by client, including but not limited to daily cash reconciliation and daily deposit functions. Responsible for flat-rate contracts, bundled services, and all applicable self-pay options. Collaborate with Case Management and/or Utilization Management regarding regulatory form completion, including but not limited to Hospital Inpatient Notices of Non-Coverage (HINNs), Lifetime Reserve Day (LTR) declinations, etc.

Responsible for running, monitoring, and working on the missed collection opportunities report for potential process improvements and follow-up, making at least three documented attempts each day to visit or contact patients when listed in an inpatient status.

Maintain Client and/or Ensemble-specific work queues as applicable to the FC role, including unbilled edits. Completes various follow-up reports as assigned including but not limited to accounts requiring next-day verification and denial root cause analysis. Manage communications with patients that are unable to make payments while in-house.

Ensure completion of all required registration-related consents/forms at or after patient admission. Develop and submit CFO escalations of uncollected estimated liabilities in compliance with existing financial clearance policies. Work daily queues to complete, update, and clear any unbilled accounts as needed and assigned.

1 - 3 years of customer service experience High School Diploma/GED Required Grants and research Healthcare Sharing Ministry coverages Billing and back-end processes Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024 Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024 Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023 Monster Top Workplace for Remote Work 2024 Associate Benefits We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.

Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws.

Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact [email protected] equity;

About the Company

Ensemble Health Partners is a prominent provider of technology-driven revenue cycle management solutions for health systems, dedicated to maintaining the health of communities.

Key Highlights

  • Remote work opportunity, allowing flexibility in your schedule.
  • Involves direct interaction with patients to review benefits and collections.
  • Provides essential reporting and auditing responsibilities.
  • Entry-level position suitable for individuals with customer service skills.
  • Offers benefits such as healthcare, time off, and retirement plans.

💡 Honest Take: While the role offers a chance to gain experience in healthcare finance, candidates should be prepared for the challenges of working in a complex revenue cycle environment. For more details, visit the official listing at Ensemble Health Partners' page.

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