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Senior Financial Navigating Specialist

Job Description

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 Opportunity:

CAREER OPPORTUNITY OFFERING:

  • Bonus Incentives

  • Paid Certifications

  • Tuition Reimbursement

  • Comprehensive Benefits

  • Career Advancement

  • This position pays between $20.45 - $22.50/hr based on experience

***This position is an onsite role, and candidates must be able to work on-site at Thedacare Medical Center, Appleton, WI****

The Opportunity:

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. Responsibilities include reviewing benefits, estimating out-of-pocket costs, facilitating payment arrangements, and 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.

Job Responsibilities:

  • 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

  • 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