Public Benefit Specialist

Ensemble Health Partners • Johnson City, 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 location-specific financial assistance programs. The specialist helps patients complete applications accurately, follows submitted applications through to a determination, and supports timely billing or adjustment processing. The role is onsite at Ballad - Johnson City Medical Center in Johnson City, Tennessee, with a Monday–Friday schedule from 1:00 p.m. to 9:30 p.m. Pay is $18.65–$20.50, based on experience.

The position involves communicating with patients to obtain required documents, documenting actions and communications in patient accounting systems, and maintaining knowledge of state and federal program requirements. The specialist also works with Medicaid caseworkers and colleagues across revenue cycle departments. CRCR certification is required within nine months of hire and is company-paid.

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.
• Obtain CRCR certification within nine months of hire; certification is company-paid.
• Be inquisitive and open to innovation, including the use of 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 and under-insured patients to identify program eligibility opportunities and coordinate the application process.
• Communicate with patients to obtain documents required for applications.
• Follow submitted applications through to determination, update applicable insurance information, and 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
• Paid certifications
• Tuition reimbursement
• Comprehensive benefits, including healthcare, time off, retirement, and well-being programs
• Quarterly and annual incentive programs
• Career advancement and professional development

What This Job Offers

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