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Ensemble Health Partners

Senior Public Benefit Specialist

Ensemble Health Partners

Interviewer for uninsured patients determining state Medicaid or Financial Assistance eligibility in healthcare revenue cycle management at Ensemble.

Posted 4/14/2026full-timeRichmond • Virginia • 🇺🇸 United StatesSenior💰 $20 - $23 per hourWebsite

About the role

Key responsibilities & impact
  • 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

What you’ll need
  • 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.
  • 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 (Company Paid).

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
patient insurance processauthorizationsbenefits verificationmedical terminologyCPT codesrevenue cyclebillingpaymentsdenialsapplication processes
Soft Skills
communicationcollaborationinquisitiveopenness to innovationrelationship buildingproblem-solvingattention to detailtimelinessadaptabilitycustomer service
Certifications
CRCR