Public Benefit Specialist
About The Position
The Public Benefit Specialist interviews uninsured and under-insured patients to determine eligibility for state Medicaid benefits or the location’s Financial Assistance program. The specialist assists patients with application processes, follows up on submitted applications, and helps ensure timely billing or adjustment processing. This role is located on-site at OU Health in Oklahoma City, Oklahoma. The position requires 1–2 years of experience in the healthcare industry interacting with patients regarding hospital financial issues, and a high school diploma or GED. A combination of post-secondary education and experience may be considered in lieu of a degree. The CRCR certification must be obtained within nine months of hire. The stated pay range is $18.65–$20.50 per hour, based on experience.
Requirements
- 1–2 years of healthcare industry experience 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.
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 or 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 better processes and reduce friction in patient and client experiences.
Responsibilities
- Review referred uninsured and under-insured patients for program eligibility opportunities and initiate and coordinate application processes to facilitate accurate submissions.
- 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, including quarterly and annual incentive programs.
- Paid certifications and professional certification relevant to the associate’s field.
- Tuition reimbursement.
- Comprehensive benefits, including healthcare, time off, retirement, and well-being programs.
- Career advancement and professional development opportunities.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
