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Ensemble Health Partners

Senior Specialist, Financial Navigating

claremore, OK

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Job description

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 {Insert Location Here}**** 

­

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

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.

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

Worksite address

claremore, OK, 74018, US

Who can apply

Review the original listing for work authorization, qualifications and employer requirements.

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