Public Benefit Specialist

Ensemble Health Partners • Effingham, IL

4d • Onsite

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 helps patients complete applications, follows submitted applications through determination, and supports timely billing or adjustment processing. The role is based on-site at HSHS - St. Anthony's Hospital in Effingham, Illinois, and pays $18.65–$20.50 based on experience. CRCR certification is required within nine months of hire.

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.
• Inquisitiveness and openness to innovation, including AI, to explore better processes and improve patient and client experiences.

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 and initiate and coordinate application processes.
• Communicate with patients to obtain documents required to accompany applications.
• Follow applications through 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 job duties as assigned.

Benefits

• Bonus incentives and quarterly and annual incentive programs.
• Tuition reimbursement.
• Comprehensive benefits, including healthcare, time off, retirement, and well-being programs.
• Professional development and a professional certification relevant to the associate's field.
• Career advancement opportunities.

What This Job Offers

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