Public Benefit Specialist
About The Position
Ensemble is hiring a Public Benefit Specialist to interview uninsured and under-insured patients and determine their eligibility for state Medicaid benefits or location-specific financial assistance programs. The specialist assists patients with applications, follows up on submissions through the eligibility determination, and supports timely billing or adjustment processing. This position is on-site at HSHS - St. Elizabeth's Hospital in O'Fallon, Illinois, and pays $18.65–$20.50 based on experience. The role requires communication with patients to obtain supporting documents, accurate documentation in patient accounting systems, and working knowledge of state and federal program requirements. The specialist also maintains working relationships with Medicaid caseworker partners and collaborates with revenue cycle departments and colleagues. Ensemble describes its purpose through customer obsession, embracing new ideas, and striving for excellence. The company offers comprehensive benefits, career advancement, paid certifications, tuition reimbursement, and incentive programs. The position requires CRCR certification within nine months of hire.
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.
- Obtain CRCR certification within nine months of hire.
- 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.
- Call Center experience.
Responsibilities
- Review referred uninsured and under-insured patients for program eligibility opportunities and initiate and coordinate the application process.
- Communicate with patients to obtain documents needed to accompany applications.
- Follow submitted applications through the determination point, 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
- Paid certifications
- Tuition reimbursement
- Comprehensive benefits, including healthcare, time off, retirement, and well-being programs
- Career advancement
- Professional development
- Quarterly and annual incentive programs
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
