Ensemble Health Partners

Bilingual Public Benefit Specialist

Ensemble Health Partners

full-time

Posted on:

Location Type: Office

Location: MinneapolisMinnesotaUnited States

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Salary

💰 $20 - $22 per hour

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 to facilitate accurate and appropriate submissions
  • Effectively communicating with the patient to obtain documents that must accompany the application
  • Following submitted applications to determination point, updating applicable insurance information and ensuring timely billing or adjustment posting
  • Documenting all relevant actions and communication steps in assigned patient accounting systems
  • Maintaining working knowledge of all state and federal program requirements; shares information with colleagues and supervisors
  • Developing and maintaining proactive working relationship with county/state/federal Medicaid caseworker partners, working collaboratively with other revenue cycle departments and associates
  • Other job duties as assigned.

Requirements

  • 1-2 years of experience in healthcare industry, interacting with patients regarding hospital financial issues
  • Bilingual speaking proficiency in Spanish/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
  • Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences
  • Minimum Education: 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
patient insurance processauthorizationsbenefits verificationmedical terminologyCPT codesprocedure codesrevenue cyclebillingpaymentsdenials
Soft Skills
communicationinquisitiveopenness to innovationcollaborationrelationship building
Certifications
CRCR