Public Benefit Specialist
Ensemble Health Partners
full-time
Posted on:
Location Type: Office
Location: Richmond • Virginia • United States
Visit company websiteExplore more
Salary
💰 $19 - $21 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 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 necessary documents
- Following submitted applications to determination point, updating 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 state and federal program requirements and sharing information with colleagues
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
- 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
- High School Diploma or GED preferred, combination of post-secondary education and experience will be considered in lieu of degree
- Certifications: CRCR within 9 months of hire (Company Paid)
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 cyclebillingpaymentsdenialspatient insurance processauthorizationsbenefits verificationmedical terminologyCPT codesprocedure codes
Soft Skills
communicationinquisitiveopenness to innovationproblem-solvingpatient experienceclient experience
Certifications
CRCR