Public Benefit Specialist
About The Position
The Public Benefit Specialist interviews uninsured and under-insured patients to determine eligibility for state Medicaid benefits or a local Financial Assistance program. The role assists patients with application processes, follows up on submitted applications through determination, and supports timely billing or adjustment processing. This position is on-site at HSHS - St. Anthony's Hospital in Effingham, Illinois, and pays $18.65–$20.50 based on experience. The specialist documents actions and communications in patient accounting systems, maintains knowledge of state and federal program requirements, and develops working relationships with Medicaid caseworkers and colleagues across revenue cycle departments. The role requires a high school diploma or GED, or an acceptable combination of post-secondary education and experience, and CRCR certification within nine months of hire.
Requirements
- One to two years of experience in the healthcare industry interacting with patients regarding hospital financial issues.
- High school diploma or GED; a combination of post-secondary education and experience may be considered in lieu of a degree.
- Obtain CRCR certification within nine months of hire.
- Be inquisitive and open to innovation, including AI, to explore improved processes and ways to reduce friction and improve patient and client experiences.
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.
- Call Center experience.
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 communication steps in assigned patient accounting systems.
- Maintain working knowledge of state and federal program requirements and share information with colleagues and supervisors.
- Develop and maintain proactive working relationships with county, state, and federal Medicaid caseworker partners.
- Collaborate with other revenue cycle departments and associates.
- Perform other job duties as assigned.
Benefits
- Bonus incentives
- Paid certifications
- Tuition reimbursement
- Comprehensive benefits, including healthcare, time off, retirement, and well-being programs
- Quarterly and annual incentive programs
- Professional development and career advancement
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
