Financial Counseling Representative

About the role

At R1, we're transforming how healthcare works by combining nearly two decades of revenue cycle expertise with advanced technology, including analytics, AI, intelligent automation and workflow orchestration. We pair that technology with the irreplaceable expertise of our people to help hospitals, health systems and medical groups improve financial performance, simplify administrative complexity and create better experiences for patients and providers.

All Together Better defines our culture and the way we work. We're a diverse, global team united by a shared mission to make healthcare work better for all. Across technology, operations and support functions, our people bring deep expertise, empathy and ingenuity to the work we do. Here, collaboration fuels progress, adaptability sparks innovation and every voice can help shape what's next for R1 and the future of healthcare.

About the role

On-site | Austin, TX| Ascension Dell Seton Medical Center-University of Texas

Schedule: Monday-Friday 8am-5pm | Job type: Full Time Pay: $20

Help Patients Find Financial Support

Join R1 as a Financial Counselor and help uninsured and underinsured patients understand their coverage and financial assistance options. In this on-site role, you will regularly travel between multiple hospital floors to meet with patients in their rooms, screen for potential eligibility, assist with applications, and explain financial responsibilities with clarity and compassion.

What You'll Do

• Travel between multiple hospital floors and visit uninsured and underinsured patients in their rooms to review their financial needs and available resources.
• Screen for potential eligibility for Medicaid, Marketplace coverage, hospital financial assistance, and other programs.
• Help patients complete applications and gather required documents.
• Clearly explain coverage options, application steps, and next steps.
• Discuss estimated patient responsibility and available payment options, and support collection of amounts due in a respectful, patient-centered manner.
• Track application status, follow up on missing information, and document activity accurately.
• Protect patient privacy and work closely with clinical, Patient Access, and revenue cycle teams.
• Balance compassionate service, accuracy, and productivity in a fast-paced hospital setting.

Required Qualifications

• High school diploma or GED.
• Strong customer service, communication, and interpersonal skills.
• Compassion and professionalism when discussing sensitive personal and financial information.
• Ability to explain complex information in clear, simple language.
• Strong attention to detail and ability to manage multiple systems and priorities.
• Ability to navigate and work efficiently across multiple systems with ease.
• Ability to work on-site, move regularly between multiple hospital floors, and meet with patients in their rooms throughout the day.

Preferred Qualifications

• Experience in financial counseling, eligibility, Patient Access, registration, patient financial services, or revenue cycle.
• Knowledge of Medicaid, Marketplace coverage, hospital financial assistance, or similar programs.
• Experience completing eligibility screenings, applications, or supporting documentation.

Work Environment

This is an on-site, patient-facing hospital role that requires regular travel between multiple floors and in-person visits with patients in their rooms. You may work around illnesses or injuries, support patients during stressful situations, and spend much of the day moving throughout the facility.

• Facility vaccination requirements may apply, including an annual flu vaccination.
• A background check and drug screening may be required before hire.
• Reasonable accommodations may be provided to qualified individuals.