Public Benefit Specialist
Ensemble Health Partners
full-time
Posted on:
Location Type: Office
Location: Toledo • Ohio • 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 necessary documents.
- Following submitted applications to determination point, updating applicable insurance information.
Requirements
- 1-2 years of experience in healthcare industry, interacting with patients regarding hospital financial issues.
- 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.
- 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 Cyclebillingpaymentsdenialsauthorizationsbenefits verificationmedical terminologyCPT codesprocedure codespatient insurance process
Soft Skills
communicationinterpersonal skillsorganizational skills
Certifications
CRCR