Bilingual Public Benefit Specialist
Ensemble Health Partners
full-time
Posted on:
Location Type: Office
Location: Miami • Florida • 🇺🇸 United States
Visit company websiteSalary
💰 $19 - $21 per hour
Job Level
JuniorMid-Level
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.
- 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.
- Bilingual Proficiency in Spanish and English
- 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. Combination of post-secondary education and experience will be considered in lieu of degree.
- 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
Revenue Cyclepatient insurance processauthorizationsbenefits verificationmedical terminologyCPT codesprocedure codesapplication processesbillingpayments
Soft skills
communicationinterpersonal skillsorganizational skillsfollow-upattention to detail
Certifications
CRCR