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 with application processes, follows applications through determination, and helps ensure timely billing or adjustment processing. This position is located on-site in Atlanta, Georgia, and pays $18.65–$20.50 per hour, based on experience. The role involves communicating with patients to obtain supporting documents, recording relevant actions in patient accounting systems, and maintaining knowledge of state and federal program requirements. The specialist also builds working relationships with Medicaid caseworker partners and collaborates with other revenue cycle departments and associates. CRCR certification is required within nine months of hire and is company-paid. Ensemble describes the opportunity as offering bonus incentives, paid certifications, tuition reimbursement, comprehensive benefits, and career advancement.
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.
- CRCR certification required within nine months of hire; the company pays for the certification.
- Must be inquisitive and open to innovation, including AI, to explore better processes and improve patient and client experiences.
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 and initiate 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 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, including quarterly and annual incentive programs.
- Paid certifications.
- Tuition reimbursement.
- Comprehensive benefits package, including healthcare, time off, retirement, and well-being programs.
- Career advancement and professional development opportunities. 401k, dental insurance, health insurance, paid holidays, vision insurance, disability insurance, life insurance, and flexible scheduling are not specified individually.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
