Senior Specialist, Financial Navigating

ensemblehp

United States

On-site

USD 28,000 - 31,000

Full time

14 days+

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Benefits offered by this job

Bonus Incentives

Paid Certifications

Tuition Reimbursement

Comprehensive Benefits

Career Advancement

Job summary

Ensemble is hiring for an on-site Revenue Cycle Navigator role focused on Medicaid screening, financial counseling, and patient education. The position involves working directly with patients and hospital teams to verify coverage, assist with eligibility, and manage billing workflows.

The ideal candidate has 3–5 years in revenue cycle or patient access, a Bachelor’s degree, and strong communication skills to support patients and clinical teams. On-site location required with competitive benefits.

Qualifications

Experience across multiple revenue cycle areas is preferred.
Customer service background is a plus.
Knowledge of Medicaid eligibility processes is beneficial.

Responsibilities

Provide financial counseling to patients and families.
Assist with Medicaid screening and eligibility verification.
Coordinate with care teams to resolve denials and billing questions.
Educate patients about coverage options and financial responsibilities.
Ensure accuracy in patient financial screening and documentation.
Collaborate with case management and social work teams as needed.

Skills

Medicaid Screening

Financial Counseling

Public Benefits

Patient Education

Denial Review

Education

Bachelor's degree

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:

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 {Insert Location Here}****

Essential Job Functions:

Navigator will have subject matter knowledge in the following functional areas

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

Job Experience:

3 to 5 Years

Education Level:

Bachelor's degree or Equivalent Experience

Required 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 roles