Senior Financial Navigating Specialist

Financial Navigating Senior Specialist

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!

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

Experience We Love:

• 3-5 years' experience in multiple areas of the revenue cycle is preferred, including but not limited to a financial counselor role, customer service role, or other applicable roles
• Prior customer service and/or hospital experience is a plus

Required Qualifications:

• High School diploma/GED required
• CRCR Required within 6 months of hire
• 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.

Qualifications We Love:

• Bachelor's degree or Equivalent experience in Healthcare Management / Administration.

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 Remote Work 2024

Great Place to Work certified 2023-2024

• Innovation
• Work-Life Flexibility
• Leadership
• Purpose + Values

Bottom 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 View email address on click.appcast.io.

This 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