Public Benefit Specialist
About The Position
The Public Benefit Specialist interviews uninsured and under-insured patients to determine eligibility for state Medicaid benefits or a location Financial Assistance program. The specialist assists patients with application processes, supporting accurate and appropriate submissions, and follows applications through determination to help ensure timely billing or adjustment processing. This is an on-site position at Bon Secours - St Francis - Downtown in Greenville, South Carolina. Pay is $18.65–$20.50, based on experience. The role requires communication with patients to obtain supporting documents, accurate documentation of actions and communications in patient accounting systems, and maintenance of working knowledge of state and federal program requirements. The specialist also works proactively with county, state, and federal Medicaid caseworkers and collaborates with revenue cycle departments and associates.
Requirements
- 1–2 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 9 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.
- Inquisitiveness and openness to innovation, including AI, to explore better processes and reduce friction for patients and clients.
Responsibilities
- Review referred uninsured and under-insured patients for program eligibility opportunities and initiate and coordinate applications.
- 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 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
- Quarterly and annual incentive programs
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
