Senior Specialist, Financial Navigating

Ensemble Health Partners; Great Falls (MT); Sur place; USD 28 000 - 31 000; Plein temps

Avantages offerts par ce poste

Bonus incentives

Tuition reimbursement

Comprehensive benefits

Career advancement

Résumé du poste

Ensemble Health Partners is seeking a Financial Navigator to guide patients through their financial journey during hospitalization and up to 30 days post-discharge. You will screen for Medicaid, assist with financial assistance applications, educate patients, and coordinate collections with a focus on reducing confusion between patients and hospital financial services.

The role emphasizes on-site work, collaboration with care teams, and process improvement to enhance patient experience and

Qualifications

• Experience in revenue cycle areas is preferred.
• Experience in financial counseling or patient access is beneficial.
• Prior Medicaid eligibility/benefits knowledge is a plus.

Responsabilités

• Screen self-pay patients and determine coverage eligibility.
• Educate patients on financial options and assist with applications.
• Create estimates and coordinate POS collections.
• Participate in in-house reviews and KPI-driven workflows.

Connaissances

Medicaid screening

Financial counseling

POS collections

Denial review

Formation

Bachelor's degree or equivalent experience

Description du poste

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 IncentivesPaid CertificationsTuition ReimbursementComprehensive BenefitsCareer AdvancementThis 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***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.Essential Job Functions:Navigator will have subject matter knowledge in the following functional areasPublic Benefits Eligibility - Medicaid Screening and/or Financial AssistanceAccountability for Medicaid Screening and Conversion for self-pay patientsFinancial Counseling – Workqueues/Worklists, POS Collections, Denial ReviewFinancially 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 callsCreating estimates and POS CollectionsAccountable for meeting productivity and department KPIsBe knowledgeable of all client specific payment models.Take a proactive approach in patient education to improve:Patient experience to improve financial performanceEnsure continuity on challenging in-house casesAbility to triage patient financial questions and ensure resolution while in-houseFace-to-face connection with patients throughout their care journeyReal time feedback and issue resolutionEscalate any financial process gaps identifiedCommunicate and collaborate with other personnel as needed, including case management, social workers, or physician liaisonsMust demonstrate critical thinking, problem solving and knowledge of all the Revenue Cycle areas and processes to be effective in the positionPerforms other duties as assignedJob Experience:3 to 5 YearsMust be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.Education Level:Bachelor’s degree or Equivalent ExperienceRequired Knowledge, Skills, and Abilities: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 rolesPrior Patient Access or Physician based experience is a plusJoin an award-winning companyFive-time winner of “Best in KLAS” 2020-2022, 2024-2025Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-202422 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023Energage Top Workplaces USA 2022-2024Fortune Media Best Workplaces in Healthcare 2024Monster Top Workplace for Remote Work 2024Great Place to Work certified 2023-2024InnovationWork-Life FlexibilityLeadershipPurpose + ValuesBottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.Our Culture – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.Ensemble is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble also prohibits harassment of applicants or employees based on any of these protected categories.Due to business, operational, payroll, and regulatory requirements, this position is limited to individuals who reside and are authorized to work within the United States. Applications generated from outside the United States will not be considered. Individuals may reapply when located within the United States.Ensemble provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact [e-mail] posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role’s range.Employment Disclaimers – Ensemble