Public Benefit Specialist

Ensemble Health Partners

Public Benefit Specialist interviewing uninsured/under-insured patients for state Medicaid benefits. Assisting in application processes and communicating with patients to ensure timely billing.

Posted 5/22/2026full-timeKing of Prussia • Pennsylvania • 🇺🇸 United StatesJunior💰 $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 relationships 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.
Bilingual Proficiency in Spanish and English.
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

Medicaid eligibilityapplication processesbillingadjustment processinginsurance information updatespatient accounting systemsauthorizationsbenefits verificationmedical terminologyCPT codes

Soft Skills

communicationrelationship buildinginquisitiveopenness to innovation

Certifications

CRCR