Ensemble Health Partners

Public Benefit Specialist

Ensemble Health Partners

full-time

Posted on:

Location Type: Office

Location: Richmond • Virginia • 🇺🇸 United States

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Salary

💰 $18 - $20 per hour

Job Level

JuniorMid-Level

About the role

  • Interviews uninsured/under-insured patients to determine eligibility for a state Medicaid benefit or location Financial Assistance program.
  • Assists with application processes to facilitate accurate and appropriate submissions.
  • Follows-up on submitted applications to insure timely billing or adjustment processing.
  • Reviewing all referred uninsured/under-insured patients for program eligibility opportunities.
  • Communicating with the patient to obtain documents that must accompany the application.
  • Updating applicable insurance information and ensuring timely billing or adjustment posting.
  • Documenting all relevant actions and communication steps in assigned patient accounting systems.
  • Maintaining working knowledge of all state and federal program requirements.

Requirements

  • 1-2 years of experience in healthcare industry, interacting with patients regarding hospital financial issues.
  • Understanding of Revenue Cycle including admission, billing, payments and denials.
  • Comprehensive knowledge of patient insurance process for obtaining authorizations and benefits verification.
  • Knowledge of Health Insurance requirements.
  • Knowledge of medical terminology or CPT or procedure codes.
  • Patient Access experience with managed care/insurance and Call Center experience highly preferred.
  • CRCR within 9 months of hire.
Benefits
  • Bonus Incentives
  • Paid Certifications
  • Tuition Reimbursement
  • Comprehensive Benefits
  • Career Advancement

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
application processesbillingadjustment processingpatient insurance processauthorizationsbenefits verificationmedical terminologyCPT codesprocedure codesrevenue cycle
Soft skills
communicationinterpersonal skillsorganizational skills
Certifications
CRCR
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