Sr. Specialist, Financial Navigator

About the role

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 Benefis - East Campus in Great Falls, MT**** 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 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 Prior Patient Access or Physician based experience is a plus 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 Join an award-winning company Five-time winner of "Best in KLAS" 2020-2022, 2024-2025 Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024 Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024 Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023 Energage Top Workplaces USA 2022-2024 Fortune Media Best Workplaces in Healthcare 2024 Monster Top Workplace for R

Benefits

Additional Information

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.

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