Public Benefit Specialist

Ensemble Health Partners • Bristol, TN

6d • Onsite

About The Position

The Public Benefit Specialist interviews uninsured and under-insured patients to determine eligibility for state Medicaid benefits or location-specific Financial Assistance programs. The specialist helps patients complete applications, follows submissions through to a decision, and supports timely billing or adjustment processing. The role is based onsite at Ballad - Bristol Regional Medical Center in Bristol, Tennessee, and pays $18.65–$20.50, depending on experience.

The position requires 1–2 years of healthcare-industry experience interacting with patients about hospital financial issues, along with a high school diploma or GED. A combination of post-secondary education and experience may be considered in lieu of the stated education requirement. The specialist must earn the Company-paid CRCR certification within nine months of hire.

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.
• Earn the CRCR certification within nine months of hire; the company pays for the certification.
• Demonstrate inquisitiveness and openness to innovation, including AI, to explore improved processes and reduce friction for patients and clients.

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 referrals for uninsured or under-insured patients and identify potential eligibility for assistance programs.
• Initiate and coordinate applications to support accurate and appropriate submissions.
• Communicate with patients to obtain documents required for applications.
• Follow submitted applications through determination, update applicable insurance information, and help ensure timely billing or adjustment posting.
• Document relevant actions and communications 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 duties as assigned.

Benefits

• Bonus incentives
• Comprehensive benefits, including healthcare, time off, retirement, and well-being programs
• Tuition reimbursement
• Company-paid CRCR certification
• Professional development and career advancement
• Quarterly and annual incentive programs

What This Job Offers

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