Senior Financial Navigating Specialist
Ensemble RCM LLC
Appleton, WI (In Person)
$46,058 Salary, Full-Time
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Job Description
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 forExcellence:
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 assignedExperience 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 plusRequired 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 WorkplacesUSA 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 Legitimate Ensemble Recruiters will only contact you from an email address ending in "@ensemblehp.
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