Senior Financial Navigating Specialist

Ensemble Health Partners•Marion, VA

13d•Onsite

About The Position

The Financial Navigating Senior Specialist is a key resource for patients throughout their financial journey, from admission through post-discharge. This role provides personalized guidance to help patients understand and manage healthcare-related financial obligations. Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. 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. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.

Requirements

High School diploma/GED required
CRCR Required within 6 months of hire
Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.

Nice To Haves

3-5 years' experience in multiple areas of the revenue cycle is preferred, including but not limited to a financial counselor role, customer service role, or other applicable roles
Prior customer service and/or hospital experience is a plus
Bachelor’s degree or Equivalent experience in Healthcare Management / Administration.

Responsibilities

Reviewing benefits, estimating out-of-pocket costs, facilitating payment arrangements, and ensuring compliance with organizational and regulatory requirements.
Maintain consistent communication and collaboration with the client patient care advocate or designated personnel that receive external patient inquiries, concerns, or complaints
Communicate and collaborate with other personnel as needed, including case management, social workers, customer service or physician liaisons
Produce monthly operating report for executive review
Calculates patient liability estimates and collect payments at point of service.
Addresses billing and coverage inquiries and maintain accurate account documentation.
Research and responds to account inquiries in a timely manner
Knowledge of all aspects of the revenue cycle and processes to troubleshoot and resolve issues
Must demonstrate critical thinking, problem solving and knowledge of all the Revenue Cycle areas and processes to be effective in the position
Work with leadership team to implement workflow changes if appropriate
Communicate patterns and trends with other departments to improve work standards
This position will work closely with the customer service department to ensure we have a standardized approach in training, education, technology, and processes
Performs other duties as assigned