Public Benefit Specialist

Ensemble Health Partners • Greenville, SC

2d • Onsite

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 and follows submitted applications through to a determination to support accurate submissions and timely billing or account adjustments. This is an on-site position at Bon Secours - St Francis - Downtown in Greenville, South Carolina, with pay of $18.65–$20.50 based on experience.

The specialist reviews referred patients for program eligibility, communicates with patients to obtain required supporting documents, updates insurance information, and documents actions and communications in patient accounting systems. The role maintains knowledge of state and federal program requirements and works with Medicaid caseworkers and other revenue cycle departments. Ensemble identifies customer obsession, innovation, and excellence as its core purpose and offers opportunities including bonus incentives, paid certifications, tuition reimbursement, comprehensive benefits, and career advancement.

Requirements

• 1–2 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 9 months of hire; the company pays for the certification.
• Must be inquisitive and open to innovation, including AI, to explore better processes 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 is highly preferred.
• Call Center experience is highly preferred.

Responsibilities

• Review referred uninsured and under-insured patients for program eligibility opportunities and initiate and coordinate application processes.
• Communicate with patients to obtain documents required to accompany applications.
• Follow submitted applications through to a 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, including quarterly and annual incentive programs.
• Company-paid CRCR certification.
• Tuition reimbursement.
• Comprehensive benefits, including healthcare, time off, retirement, and well-being programs.
• Career advancement and professional development opportunities.

What This Job Offers

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