Public Benefit Specialist

Ensemble Health Partners • Midlothian, VA

11d • $19 - $21 • Onsite

About The Position

Ensemble is a provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. 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 with applications and follows up to support timely billing or adjustment processing.

This is an on-site position at Bon Secours - St. Francis Med Ctr in Midlothian, Virginia. The stated pay range is $18.65–$20.50, based on experience. The role requires CRCR certification within nine months of hire; the company pays for the certification.

Requirements

• 1–2 years of experience in the healthcare industry interacting with patients about 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 using AI to explore improved processes and reduce friction in 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 to support accurate submissions.
• Communicate with patients to obtain documents required for applications.
• Follow submitted 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 duties as assigned.

Benefits

• Bonus incentives and quarterly and annual incentive programs.
• Paid certifications and professional development.
• Tuition reimbursement.
• Comprehensive benefits, including healthcare, time off, retirement, and well-being programs.
• Career advancement opportunities.

What This Job Offers

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