Public Benefit Specialist

Ensemble Health Partners • Lewiston, ME

1d • Onsite

About The Position

The Public Benefit Specialist interviews uninsured and under-insured patients to determine eligibility for state Medicaid benefits or local Financial Assistance programs. The specialist helps patients complete applications, follows applications through to a decision, and supports timely billing or account adjustments. This position is on-site at Covenant - St. Mary's in Lewiston, Maine, and pays $19.55–$21.50, based on experience.

The role requires communication with patients to obtain supporting documents, accurate documentation of actions in patient accounting systems, and ongoing knowledge of state and federal program requirements. The specialist also works with Medicaid caseworkers and collaborates with revenue cycle colleagues. A 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 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 opportunities and initiate and coordinate application processes.
• Communicate with patients to obtain documents required for applications.
• Follow submitted applications through the determination point, 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 and maintain proactive working relationships with county, state, and federal Medicaid caseworker partners.
• Work collaboratively 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
• Quarterly and annual incentive programs

What This Job Offers

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