
Public Benefit Specialist
Ensemble Health Partners
full-time
Posted on:
Location Type: Office
Location: Abingdon • Virginia • 🇺🇸 United States
Visit company websiteSalary
💰 $18 per hour
Job Level
Junior
About the role
- Interviews uninsured/under-insured patients to determine eligibility for a state Medicaid benefit or Financial Assistance program
- Assists with application processes to facilitate accurate and appropriate submissions
- Follows-up on submitted applications to ensure timely billing or adjustment processing
- Reviewing all referred uninsured/under-insured patients for program eligibility opportunities
- Effectively communicating with the patient to obtain documents that must accompany the application
- Following submitted applications to determination point, 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
- 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
- High School Diploma or GED
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
patient insurance processauthorizationsbenefits verificationmedical terminologyCPT codesprocedure codesrevenue cyclebillingpaymentsdenials
Soft skills
effective communicationinterpersonal skillsorganizational skills
Certifications
High School DiplomaGED