Public Benefit Specialist
$38,792–$42,640 year
On-sitePortsmouth, Virginia, United States or Welcome, Louisiana, United States
Job Summary
Review all referred uninsured/under-insured patients for program eligibility opportunities and initialize the application process for state Medicaid benefits or financial assistance programs. Effectively communicate with patients to obtain necessary documents, then follow up on submitted applications to ensure timely billing or adjustment processing. Document all relevant actions in assigned patient accounting systems while maintaining a proactive working relationship with county, state, and federal Medicaid caseworker partners. This role supports Ensemble's revenue cycle management solutions by facilitating accurate submissions for hospitals and physician groups across the country.
Required Qualifications
- 1-2 years of experience in healthcare industry, interacting with patients regarding hospital financial issues
- 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
- CRCR 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
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