Public Benefit Specialist
Ensemble Health Partners
Public Benefit Specialist
Ensemble Health Partners
full-time
Posted on:
Location Type: Office
Location: Green Bay • Wisconsin • 🇺🇸 United States
Visit company websiteSalary
💰 $18 - $20 per hour
Job Level
Junior
About the role
- Interview uninsured/under-insured patients to determine eligibility for a state Medicaid benefit or location Financial Assistance program.
- Assist with application processes to facilitate accurate and appropriate submissions.
- Follow-up on submitted applications to insure timely billing or adjustment processing.
- Review referred uninsured/under-insured patients for program eligibility opportunities and initialize and coordinate application process.
- Effectively communicate with the patient to obtain documents that must accompany the application.
- Update applicable insurance information and ensure timely billing or adjustment posting.
- Document all relevant actions and communication steps in assigned patient accounting systems.
- Maintain working knowledge of all state and federal program requirements; share information with colleagues and supervisors.
- Develop and maintain proactive working relationship with county/state/federal Medicaid caseworker partners, working collaboratively with other revenue cycle departments and associates.
Requirements
- 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 highly preferred.
- Call Center experience highly preferred.
- High School Diploma or GED.
- Combination of post-secondary education and experience will be considered in lieu of degree.
- CRCR within 9 months of hire.
Benefits
- Bonus Incentives
- Paid Certifications
- Tuition Reimbursement
- Comprehensive Benefits
- Career Advancement
- Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs
- Professional certification relevant to their field
- Quarterly and annual incentive programs for all employees who go beyond and keep raising the bar
- Work-Life Flexibility
- Recognition programs
ATS Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
patient insurance processauthorizationsbenefits verificationmedical terminologyCPT codesprocedure codesrevenue cyclebillingpaymentsdenials
Soft skills
communicationcollaborationrelationship buildingorganizational skillsproactive approach
Certifications
CRCR
