Public Benefit Specialist determining patient eligibility for Medicaid and Financial Assistance programs. Collaborating with patients to facilitate application processes at Ensemble's Toledo location.
Responsibilities
Interviews uninsured/under-insured patients to determine eligibility for a state Medicaid benefit or 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.
Effectively communicating with the patient to obtain necessary documents.
Following submitted applications to determination point, updating applicable insurance information.
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 and Call Center experience highly preferred.
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