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Ensemble Health Partners

Public Benefit Specialist

Ensemble Health Partners

Public Benefit Specialist interviewing patients to determine eligibility for state Medicaid benefits. Assisting with application processes and ensuring timely billing or adjustment processing.

Posted 4/14/2026full-timeClarion • Pennsylvania • 🇺🇸 United StatesJuniorMid-Level💰 $19 - $21 per hourWebsite

About the role

Key responsibilities & impact
  • Interviews uninsured/under-insured patients to determine eligibility for state Medicaid benefit or location 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 patients for program eligibility opportunities
  • Effectively communicating with patients to obtain documents that must accompany the application.
  • Following submitted applications to determination point, updating applicable insurance information.

Requirements

What you’ll need
  • 1-2 years of experience in healthcare industry
  • Understanding of Revenue Cycle
  • Comprehensive knowledge of patient insurance process
  • 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
  • CRCR within 9 months of hire

Benefits

Comp & perks
  • Bonus Incentives
  • Paid Certifications
  • Tuition Reimbursement
  • Comprehensive Benefits
  • Career Advancement

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools
Revenue Cyclepatient insurance processmedical terminologyCPT codesprocedure codesapplication processesbilling processinginsurance information updates
Soft Skills
effective communicationinterpersonal skillsorganizational skills
Certifications
CRCR