Bilingual Public Benefit Specialist

Ensemble Health Partners • Wyomissing, PA

8d • $19 - $21 • Onsite

About The Position

The Bilingual Public Benefit Specialist interviews uninsured and under-insured patients to determine eligibility for state Medicaid benefits or location-based financial assistance programs. The specialist assists patients with applications, ensuring submissions are accurate and appropriate, and follows up on applications to support timely billing or adjustments. This position is on-site at Tower - Reading Hospital in West Reading, Pennsylvania, and pays $18.65–$20.50 per hour based on experience.

The role requires Spanish/English bilingual speaking proficiency and 1–2 years of healthcare experience interacting with patients about hospital financial issues. A high school diploma or GED is required; a combination of post-secondary education and experience may be considered instead. CRCR certification is required within nine months of hire and is company-paid.

Ensemble describes a comprehensive benefits package supporting associates’ physical, emotional, and financial health, including healthcare, time off, retirement, and well-being programs. It also offers professional development, tuition reimbursement, paid certifications, and quarterly and annual incentive programs.

Requirements

• 1–2 years of healthcare industry experience interacting with patients regarding hospital financial issues.
• Bilingual speaking proficiency in Spanish and English.
• High school diploma or GED; a combination of post-secondary education and experience may be considered in lieu of a degree.
• CRCR certification required within nine months of hire; company paid.

Nice To Haves

• Understanding of revenue cycle processes, including admission, billing, payments, and denials.
• Comprehensive knowledge of patient insurance processes for obtaining authorizations and verifying benefits.
• Knowledge of health insurance requirements.
• Knowledge of medical terminology, CPT, or procedure codes.
• Patient Access experience with managed care or insurance and Call Center experience are highly preferred.
• Inquisitiveness and openness to innovation, including AI, to explore improved processes and reduce friction for patients and clients.

Responsibilities

• Review referred uninsured and under-insured patients for program eligibility and initiate and coordinate application processes.
• Communicate with patients to obtain documents required for applications.
• Follow submitted applications through determination, update applicable insurance information, and ensure timely billing or adjustment posting.
• Document relevant actions and communications in assigned patient accounting systems.
• Maintain working knowledge of state and federal program requirements and share information with colleagues and supervisors.
• Develop and maintain working relationships with county, state, and federal Medicaid caseworkers, and collaborate with revenue cycle departments and associates.
• Perform other job duties as assigned.

Benefits

• Bonus incentives, including quarterly and annual incentive programs.
• Paid certifications.
• Tuition reimbursement.
• Comprehensive benefits package, including healthcare, time off, retirement, and well-being programs.
• Professional development and career advancement opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED