Public Benefit Specialist

Ensemble Health Partners • Johnson City, TN

23h • Onsite

About The Position

Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country, aiming to keep communities healthy by keeping hospitals healthy. Ensemble emphasizes a human touch in healthcare, empowering its people to challenge the status quo and be the difference. The company's O.N.E Purpose focuses on Customer Obsession, Embracing New Ideas, and Striving for Excellence. This Public Benefit Specialist position is located On-Site at Ballad - Franklin Woods Community Hospital in Johnson City, TN, with a schedule of 8am-4:30pm. The role involves interviewing uninsured/under-insured patients to determine eligibility for state Medicaid benefits or local Financial Assistance programs, assisting with application processes, and following up on submitted applications to ensure timely billing or adjustment processing.

Requirements

• 1-2 years of experience in healthcare industry, interacting with patients regarding hospital financial issues
• 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
• High School Diploma or GED
• CRCR certification within 9 months of hire
• 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

Nice To Haves

• Patient Access experience with managed care/insurance and Call Center experience

Responsibilities

• Reviewing all referred uninsured/under-insured patients for program eligibility opportunities, initializing and coordinating the application process to facilitate accurate and appropriate submissions
• Effectively communicating with the patient to obtain documents that must accompany the application
• Following submitted applications to determination point, updating applicable insurance information and ensuring timely billing or adjustment posting
• Documenting all relevant actions and communication steps in assigned patient accounting systems
• Maintaining working knowledge of all state and federal program requirements; shares information with colleagues and supervisors
• Developing and maintaining proactive working relationship with county/state/federal Medicaid caseworker partners, working collaboratively with other revenue cycle departments and associates
• Other job duties as assigned

Benefits

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits package (including healthcare, time off, retirement, and well-being programs)
• Career Advancement
• Investment in professional development
• Quarterly and annual incentive programs

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 501-1,000 employees