Public Benefit Specialist
Ensemble Health Partners
full-time
Posted on:
Location Type: Office
Location: Oklahoma City • Oklahoma • United States
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Salary
💰 $19 - $21 per hour
Job 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
- Initializing and coordinating the application process
- Effectively communicating with the patient to obtain documents that must accompany the application
- Following submitted applications to determination point
- Documenting all relevant actions and communication steps in assigned patient accounting systems
- Maintaining working knowledge of all state and federal program requirements
- Developing and maintaining 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 (Combination of post-secondary education and experience will be considered in lieu of degree)
- Certifications: 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
effective communicationproactive relationship buildingorganizational skillsattention to detailfollow-up skills
Certifications
CRCR