Public Benefit Specialist
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 assists patients with application processes, ensuring submissions are accurate and appropriate, and follows up on applications to support timely billing or adjustment processing. This on-site role is located at Covenant - St. Mary's in Lewiston, Maine, and pays $19.55–$21.50 based on experience. The role requires patient communication to obtain supporting documents, documentation of relevant actions and communications in patient accounting systems, and coordination with Medicaid caseworkers and other revenue cycle colleagues. The specialist maintains working knowledge of state and federal program requirements and shares relevant information with colleagues and supervisors. A CRCR certification is required within nine months of hire and is company paid.
Requirements
- 1–2 years of experience in the healthcare industry interacting with patients regarding hospital financial issues.
- Must be inquisitive and open to innovation, including AI, to explore improved processes and reduce friction for patients and clients.
- 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; certification is company paid.
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.
Responsibilities
- Review referred uninsured and under-insured patients for program eligibility opportunities and initiate and coordinate application processes to facilitate accurate, appropriate submissions.
- Communicate with patients to obtain documents that must accompany 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, collaborating with other revenue cycle departments and associates.
- Perform other job duties as assigned.
Benefits
- Bonus incentives and quarterly and annual incentive programs.
- Paid certifications, including the required CRCR certification.
- Tuition reimbursement.
- Comprehensive benefits package, 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
