Sr Specialist, Financial Navigator

Ensemble Health Partners•Tyler, TX

14d•$20 - $23•Onsite

About The Position

Thank you for considering a career at Ensemble! 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. The Financial Navigator role will be responsible for guiding patients through their financial journey during their stay at the facility and immediately post discharge. The Navigator will be assigned to a patient at the time of service and will be available up to 30 days post discharge. The Financial Navigator will serve as an onsite point person for the patient in order to reduce confusion between the patient and the separate functional areas of financial services. Key support function of the Financial Navigator will include, but are not limited to, screening self-pay patient’s bedside, completing and submitting Medicaid, Disability and Financial Assistance applications, triaging financial questions, providing patient education, performing onsite patient rounding and facilitating process improvement projects for the patient’s financial journey. Ensemble is dedicated to providing our clients with experienced healthcare finance and revenue cycle professionals. We believe that our core values of trust, integrity, loyalty and service married with the belief that our work is worthwhile helps us build and sustain sincere relationships with our associates and clients. If you are a passionate, dedicated and experienced revenue cycle, consulting or finance professional and seek career and personal growth, we would love to hear from you. We believe we foster an environment where talented individuals can excel and shine. Our team believes that people are the most important part of our success and that when we take care of our people, they pay it forward by providing our clients with excellent results and world-class service.

Requirements

3 to 5 Years Job Experience
Bachelor’s degree or Equivalent Experience Required
Experience in multiple areas of the revenue cycle is preferred, including but not limited to a financial counselor role, customer service role, public benefits/Medicaid advocate/eligibility, state case/eligibility specialist or other applicable roles
Prior Patient Access or Physician based experience is a plus

Responsibilities

Screen self-pay patient’s bedside
Complete and submit Medicaid, Disability and Financial Assistance applications
Triage financial questions
Provide patient education
Perform onsite patient rounding
Facilitate process improvement projects for the patient’s financial journey
Subject matter knowledge in Public Benefits Eligibility - Medicaid Screening and/or Financial Assistance
Accountability for Medicaid Screening and Conversion for self-pay patients
Financial Counseling – Workqueues/Worklists, POS Collections, Denial Review
Financially clear each patient: Verify and/or secure coverage or complete screening for patients in-house, including Labor & Delivery, Newborn and NICU location focus, to prepare and help lead the daily and/or weekly In-House review calls
Creating estimates and POS Collections
Accountable for meeting productivity and department KPIs
Be knowledgeable of all client specific payment models
Take a proactive approach in patient education to improve: Patient experience to improve financial performance
Ensure continuity on challenging in-house cases
Ability to triage patient financial questions and ensure resolution while in-house
Face-to-face connection with patients throughout their care journey
Real time feedback and issue resolution
Escalate any financial process gaps identified
Communicate and collaborate with other personnel as needed, including case management, social workers, or physician liaisons
Must demonstrate critical thinking, problem solving and knowledge of all the Revenue Cycle areas and processes to be effective in the position
Performs other duties as assigned