Location: Remote, UT with a possibility of working in an Intermountain Facility.
Shift: Monday-Friday, Flexible start time 7:30AM-9:30 AM, 8.5 hour shift with a 30 minute lunch.
R1 is a leading provider of technology-enabled revenue cycle management services which transform and solve challenges across health systems, hospitals and physician practices. Headquartered in Chicago, R1 is publicly-traded organization with employees throughout the US and international locations.
Our mission is to be the one trusted partner to manage revenue, so providers and patients can focus on what matters most. Our priority is to always do what is best for our clients, patient’s and each other. With our proven and scalable operating model, we complement a healthcare organization’s infrastructure, quickly driving sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience.
The Financial Counselor will be responsible for counseling patients or parties responsible for payment, and processing financial assistance applications. The Patient Financial Counselor will educate patients on their responsibilities and potential options. The PFC is responsible for accurately and compassionately explaining to the patient their financial obligations during the financial counseling session. In addition, the counselor must obtain any necessary pre-certifications or authorizations and assist with any financing or third-party applications.
In this role, the successful candidate must display a strong sense of patient care and attention to detail.
Responsibilities:
- Explain financial responsibilities for services received, payment options and collection procedures to patients or parties responsible for payment
- Counsel patients regarding insurance benefits and recommend alternative sources of payment and financial assistance when appropriate
- Coordinate with Intermountain Healthcare’s clinical staff, patients, and review committees to help meet the patient’s financial needs for high dollar, excluded services
- Work with patients to find funding options and financial expectations
- Educate clinical staff on financial assistance procedures for excluded services
- Collaborate with the SRA (Services Requiring Approval) committee to resolve questions and concerns on medical service requests
- Monitor patient accounts and perform approved adjustments
- Collaborate with other departments for resolution of funding options
- Assess reports and identify patients needing SRA approvals
- Contact insurance carriers or other sources and act as an advocate for the patient
- Initiate process for collecting prepays due and perform follow up activity to insure maximum collection is achieved
- Identify hospital, public and private financial assistance programs for patients unable to meet their financial obligations
- Work with Case Management, Clinical Staff, Medicaid Vendor, and Family Independence Agency to assist patients and families in completing assistance program applications and determine eligibility and coverage
- Notify manager, physician and servicing department of possible delay of service for any elective, urgent admissions, procedures and scheduled diagnostic testing which have not been approved prior to the date of service
- Maintain accurate documentation of pre-processing information
- Provide assistance to uninsured patients and families in completing and filing Medicaid or assistance program applications with the appropriate agency
- Perform all other duties and projects as assigned
Required Qualifications:
- High school diploma is required
- Bilingual in English/Spanish is required
- At least one year of call center experience
- Attention to detail
- Strong customer service experience
- Ability to multi-task and navigate between multiple systems simultaneously
- Ability to communicate clearly, professionally and effectively with patients and clinical staff
Desired Qualifications:
- Previous experience as a financial counselor with background in medical terminology preferred
- Understanding of State and Federal assistance
Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.
Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visit: r1rcm.com.
Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.
Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package including:
- Comprehensive Medical, Dental, Vision & RX Coverage
- Paid Time Off, Volunteer Time & Holidays
- 401K with Company Match
- Company-Paid Life Insurance, Short-Term Disability & Long-Term Disability
- Tuition Reimbursement
- Parental Leave
R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.
If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.
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