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Public Benefit Specialist
Ensemble Health PartnersPublic Benefit Specialist interviewing uninsured patients for Medicaid eligibility at Ensemble. Assisting with applications and collaborating across departments to support financial processes.
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.
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.
- High School Diploma or GED.
Benefits
Comp & perks- Bonus Incentives
- Paid Certifications
- Tuition Reimbursement
- Comprehensive Benefits
- Career Advancement
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Medicaid eligibilityapplication processingbillingadjustment processinginsurance verificationmedical terminologyCPT codesrevenue cycle managementpatient accessmanaged care
Soft Skills
communicationcollaborationinquisitiveopenness to innovationrelationship building
Certifications
High School DiplomaGED