Senior Financial Navigating Specialist
About the role
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. Join an award‑winning company: five‑time “Best in KLAS” winner (2020‑2022, 2024‑2025), Black Book Research's Top Revenue Cycle Management Outsourcing Solution (2021‑2024), 22 HFMA MAP Awards (2019‑2024), Leader in Everest Group's RCM Operations PEAK Matrix Assessment (2024), Clarivate Healthcare Business Insights Revenue Cycle Awards (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).
Responsibilities
- Reviewing benefits, estimating out‑of‑pocket costs, facilitating payment arrangements, and ensuring compliance with organizational and regulatory requirements
- Public Benefits Eligibility – Medicaid Screening and/or Financial Assistance
- 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
- Accountable for meeting productivity and department KPIs
- Be knowledgeable of all client specific payment models
- Ability to triage patient financial questions and ensure resolution while in‑house
- Face‑to‑face connection with patients throughout their care journey
- 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
Requirements
- 3 to 5 years of relevant experience
- Bachelor’s degree or equivalent experience
- Must be in