Ensemble Health Partners

Public Benefit Specialist

Ensemble Health Partners

full-time

Posted on:

Location Type: Office

Location: Pocatello • Idaho • 🇺🇸 United States

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Salary

💰 $19 - $21 per hour

Job Level

JuniorMid-Level

About the role

  • Interview uninsured/under-insured patients to determine eligibility for state Medicaid benefit or location Financial Assistance program
  • Assist with application processes to facilitate accurate and appropriate submissions
  • Follow-up on submitted applications to ensure timely billing or adjustment processing
  • Review all referred uninsured/under-insured patients for program eligibility opportunities
  • Effectively communicate with the patient to obtain documents that must accompany the application
  • Document all relevant actions and communication steps in assigned patient accounting systems
  • Maintain working knowledge of all state and federal program requirements
  • Develop and maintain proactive working relationship with county/state/federal Medicaid caseworker partners

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
application processesbillingpaymentsdenialsauthorizationsbenefits verificationmedical terminologyCPT codesprocedure codespatient accounting systems
Soft skills
communicationrelationship buildingproactive approach
Certifications
High School DiplomaGED