Public Benefit Specialist

Ensemble Health Partners • Tyler, TX

3d • $19 - $21 • Onsite

About The Position

Ensemble is a provider of technology-enabled revenue cycle management solutions for health systems. 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, follows applications through determination, and helps ensure timely billing or adjustment processing. This on-site position is based at Ardent - UT Health Tyler in Tyler, Texas, and pays $18.65–$20.50 per hour based on experience.

The role requires patient communication, accurate documentation in patient accounting systems, knowledge of applicable state and federal program requirements, and collaboration with caseworkers and revenue cycle colleagues. Ensemble describes its culture as grounded in customer obsession, embracing new ideas, and striving for excellence, and offers professional development and associate benefits.

Requirements

• 1–2 years of experience in the healthcare industry interacting with patients regarding hospital financial issues.
• Inquisitiveness and openness to innovation, including AI, to explore improved processes and reduce friction in patient and client experiences.
• 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 9 months of hire.

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 is highly preferred.
• Call Center experience is highly preferred.

Responsibilities

• Review referred uninsured and under-insured patients for program eligibility opportunities and coordinate the application process to support accurate submissions.
• Communicate with patients to obtain documents needed to accompany applications.
• Follow submitted applications through determination, update applicable insurance information, and ensure timely billing or adjustment posting.
• Document relevant actions and communication in assigned patient accounting systems.
• Maintain working knowledge of state and federal program requirements and share information with colleagues and supervisors.
• Develop 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
• 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