Public Benefit Specialist

Ensemble Health Partners • Naples, FL

1d • 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 specialist assists patients with application processes, follows up on submissions through determination, and helps ensure accurate and timely billing or account adjustments. The role is based on-site at NCH - North Hospital in Naples, Florida, and pays $18.65–$20.50 per hour based on experience.

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.
• Earn the 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, 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 improve patient and client experiences.

Responsibilities

• Review referred uninsured and under-insured patients for program eligibility opportunities.
• Initiate and coordinate applications to facilitate accurate and appropriate submissions.
• Communicate with patients to obtain documents required to accompany applications.
• Follow submitted applications through determination, update applicable insurance information, and ensure timely billing or adjustment posting.
• Document relevant actions and communication 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
• Tuition reimbursement
• Comprehensive benefits, including healthcare, time off, retirement, and well-being programs
• Professional certification relevant to the associate's field
• Quarterly and annual incentive programs

What This Job Offers

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