About the role

  • Public Benefit Specialist at Ensemble helping patients navigate Medicaid eligibility and financial assistance applications in a healthcare setting. Conducting patient interviews and maintaining communication with caseworkers.

Responsibilities

  • 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
  • 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

Requirements

  • 1-2 years of experience in healthcare industry
  • Understanding of Revenue Cycle
  • Comprehensive knowledge of patient insurance process
  • 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
  • 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

Job title

Public Benefit Specialist

Job type

Experience level

JuniorMid level

Salary

$19 - $21 per hour

Degree requirement

High School Diploma

Location requirements

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