Role Overview
Lead and shape patient financial clearance and counselling operations while evaluating AI tools designed to improve financial screening, charity care and self-pay workflows. In this role you will guide operational best practices, review AI-generated recommendations and communications for accuracy and appropriateness, and help build training data that improves patient access and revenue capture.
Key Responsibilities- Lead patient financial counselling and financial clearance activities, including charity care screening, financial assistance application processing, and resolution of self-pay accounts.
- Evaluate AI-generated financial counselling recommendations, eligibility screening outputs, and patient communication drafts for clinical appropriateness, regulatory compliance, and clarity.
- Screen patients for Medicaid eligibility, charity care qualification, and enrollment in financial assistance programs.
- Counsel patients on expected financial obligations, payment plan options, and available assistance programs.
- Coordinate with social work, case management, and billing teams to resolve complex patient financial situations.
- Develop, document, and maintain standard operating procedures for pre-service financial screening, point-of-service collections, and financial clearance workflows.
- Monitor and report KPIs such as charity care conversion rates, financial assistance enrollment, and point-of-service collection performance.
- Ensure program and process compliance with relevant regulatory requirements, including 501(r) regulations and EMTALA.
- Annotate AI outputs and provide structured, actionable feedback to support AI training datasets and continuous improvement.
- Minimum 5 years experience in patient financial counselling, financial clearance, or self-pay revenue cycle management, with at least 2 years in a leadership role.
- Deep working knowledge of charity care programs, financial assistance eligibility, Medicaid screening, and self-pay collections.
- Familiarity with 501(r) regulatory requirements and hospital financial assistance policy compliance.
- Experience with point-of-service collections, payment plan administration, and patient financial advocacy.
- Proficiency with EHR platforms such as Epic and Cerner, and with financial assistance management tools.
- Exceptional written and verbal English communication skills, with high attention to detail for evaluating financial documentation and AI-generated outputs.
- Certified Revenue Cycle Representative (CRCR) or similar revenue cycle certification.
- Experience using presumptive eligibility screening tools and facilitating Medicaid enrollment.
- Background working in hospitals, health systems, or federally qualified health centers (FQHCs).
- Familiarity with AI tools and demonstrated comfort evaluating AI-generated patient financial content.
- Experience developing patient financial education materials and delivering staff training programs.
- Location: Remote.
- Employment type: Hourly engagement.
- Work will involve reviewing AI-generated content and patient financial documentation; access to secure remote systems and EHR interfaces may be required.
The role pays $135 per hour.
Eligibility- Exceptional written and verbal English communication skills are required to accurately evaluate AI outputs and patient communications.
- Candidates must meet the stated experience and certification requirements; no additional work-authorization conditions were specified in the source material.