Bilingual Public Benefit Specialist

Ensemble Health Partners

Bilingual Public Benefit Specialist interviewing uninsured/under-insured patients for Medicaid eligibility. Assisting with applications and maintaining relationships with Medicaid caseworkers.

Posted 4/24/2026full-timeWyomissing • Pennsylvania • 🇺🇸 United StatesJuniorMid-Level💰 $19 - $21 per hourWebsite

About the role

Key responsibilities & impact

Interviews uninsured/under-insured patients to determine eligibility for a 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 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.
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.

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

Medicaid eligibilityapplication processingbillinginsurance verificationCPT codespatient insurance processrevenue cycle managementauthorizationsdenials managementpatient access

Soft Skills

communicationcollaborationinquisitiveopenness to innovationrelationship buildingproblem-solvingattention to detailtimelinessadaptabilitycustomer service