About the role

  • Eligibility Services Coordinator at Ensemble managing day-to-day tasks for financial assistance programs. Collaborating with departments and maintaining compliance with state and federal requirements.

Responsibilities

  • Coordinates the day to day task functionality of the Eligibility Services department
  • Maintains thorough working knowledge of department policies and procedures
  • Maintains thorough working knowledge of relevant federal, state, and county benefit program requirements as well as Charity / Hospital Financial Assistance programs
  • Collaborates with SMARTS , and shares information with colleagues and Supervisors
  • Assists with quality assurance audits and team productivity
  • Assists with various reporting, projects, and DIBS
  • Acts as floater to erase deficiencies when work volume spikes or staffing gaps are present
  • Subject matter expert for system build partnership, workflow enhancement management, and partnering with external departments for build resolution

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
  • 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

Benefits

  • Bonus Incentives
  • Paid Certifications
  • Tuition Reimbursement
  • Comprehensive Benefits
  • Career Advancement

Job title

Senior Public Benefit Specialist

Job type

Experience level

Senior

Salary

$20 - $23 per hour

Degree requirement

High School Diploma

Location requirements

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