Senior Financial Navigating Specialist

Ensemble Health Partners • Appleton, WI

22h • $20 - $23 • Onsite

About The Position

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. 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.

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.
• Must demonstrate critical thinking, problem solving and knowledge of all the Revenue Cycle areas and processes to be effective in the position

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.
• Ensuring compliance with organizational and regulatory requirements.
• Calculates patient liability estimates and collect payments at point of service.
• Addresses billing and coverage inquiries and maintain accurate account documentation.
• Provides education and problem resolution to enhance patient experience and financial performance.
• Monitors trends, prepare operational reports, and support process improvement initiatives to reduce financial barriers and improve satisfaction.
• Navigator will have subject matter knowledge in the following functional areas: Financial Counseling, Public Benefits Eligibility, Billing Customer Service.
• Ability to triage patient questions and ensure resolution.
• Perform regular patient rounding in the registration lobby to ensure efficient patient throughput and optimal patient experience.
• Take a proactive approach in patient education to improve patient experience to improve financial performance.
• Ensure continuity on challenging in-house cases.
• Face-to-face connection with patients throughout their care journey.
• Real time feedback and issue resolution.
• Proactively identify financial process gaps.
• 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.
• Trend analysis of issues discovered, actions taken, project proposal, etc.
• Answers inbound phone calls during peak call hours.
• Research and responds to account inquiries in a timely manner.
• Must demonstrate critical thinking, problem solving and knowledge of all the Revenue Cycle areas and processes to troubleshoot and resolve issues.
• 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.

Benefits

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits (healthcare, time off, retirement, and well-being programs)
• Career Advancement
• Quarterly and annual incentive programs

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: High school or GED
• Number of Employees: 501-1,000 employees