Public Benefit Specialist

Ensemble Health Partners • Bristol, TN

8d • $19 - $21 • Onsite

About The Position

The Public Benefit Specialist interviews uninsured and under-insured patients to determine eligibility for state Medicaid benefits or the facility’s Financial Assistance program. The specialist helps patients complete applications accurately, follows submitted applications through determination, and works to ensure timely billing or adjustment processing. This position is on-site at Ballad – Bristol Regional Medical Center in Bristol, Tennessee. The stated pay range is $18.65–$20.50, based on experience.

The role requires communication with patients to gather documents, documentation of actions and communications in patient accounting systems, and coordination with Medicaid caseworkers and revenue cycle colleagues. The specialist maintains working knowledge of state and federal program requirements and shares relevant information with colleagues and supervisors.

Ensemble describes its purpose through customer obsession, embracing new ideas, and striving for excellence. The company offers a comprehensive benefits package and opportunities for professional development, certification, tuition reimbursement, career advancement, and incentive programs.

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.
• Must be inquisitive and open to innovation, including AI, to explore better processes and improve patient and client experiences.
• Obtain CRCR certification within 9 months of hire; company paid.

Nice To Haves

• Understanding of the revenue cycle, 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 referred uninsured and under-insured patients for program eligibility opportunities and initiate and coordinate application processes.
• 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
• Paid certifications
• Tuition reimbursement
• Comprehensive benefits, including healthcare, time off, retirement, and well-being programs
• Career advancement
• 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