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 & Tools
Revenue Cyclepatient insurance processauthorizationsbenefits verificationmedical terminologyCPT codesprocedure codesapplication processesbillingpayments
Soft Skills
effective communicationproactive relationship buildingorganizational skillsattention to detailfollow-up skills
Certifications
CRCR