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’s Financial Assistance program. The role assists patients through application processes, follows submitted applications through determination, and helps ensure timely billing or adjustment processing. The position is on-site at Firelands - Regional Medical Center in Sandusky, Ohio, and pays $18.65–$20.50 based on experience. The specialist reviews referred patients for eligibility opportunities, coordinates accurate application submissions, communicates with patients to obtain required documentation, and records relevant actions in patient accounting systems. The role requires maintaining knowledge of state and federal program requirements and collaborating with Medicaid caseworkers and revenue cycle colleagues.
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 9 months of hire.
- Be inquisitive and open to innovation, including the use of 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 involving 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 to accompany applications.
- Follow submitted applications through determination, update applicable insurance information, and help 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.
- 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
- 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
