Bilingual Public Benefit Specialist
$38,792–$42,640 year
On-siteWyomissing, Pennsylvania, United States or Tower, Minnesota, United States
Job Summary
Review referred uninsured and under-insured patients for Medicaid benefit eligibility and financial assistance program opportunities. Coordinate application processes to facilitate accurate submissions and follow up to ensure timely billing or adjustment processing. Communicate with patients to obtain necessary documentation and update insurance information at the determination point. Document all actions in patient accounting systems while maintaining relationships with county, state, and federal Medicaid caseworkers. This role supports Ensemble's revenue cycle management solutions for health systems, focusing on keeping hospitals healthy through meaningful patient interactions. Candidates must be bilingual in Spanish and English with 1-2 years of healthcare industry experience.
Required Qualifications
- 1-2 years of experience in healthcare industry, interacting with patients regarding hospital financial issues
- Bilingual speaking proficiency in Spanish/English
- High School Diploma or GED
- CRCR certification within 9 months of hire
Desired Qualifications
- 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
- 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
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