Public Benefit Specialist

Ensemble Health Partners • Roanoke, VA

7d • $19 - $21 • Onsite

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 specialist assists patients with the application process, follows up on submitted applications through determination, and helps ensure timely billing or adjustment processing. This position is on-site at Carilion - Roanoke Memorial Hospital in Roanoke, Virginia, and pays $18.65–$20.50 per hour based on experience.

The role requires knowledge of state and federal program requirements and collaboration with patients, Medicaid caseworkers, supervisors, and other revenue cycle colleagues. A CRCR certification must be obtained within nine months of hire. Ensemble offers paid certifications, tuition reimbursement, comprehensive benefits, career advancement, and incentive programs.

Requirements

• 1–2 years of healthcare industry experience 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.
• Understanding of the revenue cycle, including admission, billing, payments, and denials.
• Knowledge of patient insurance processes for obtaining authorizations and verifying benefits.
• Knowledge of health insurance requirements.
• Must be inquisitive and open to innovation, including AI, to explore better processes and improve patient and client experiences.

Nice To Haves

• 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 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 knowledge of state and federal program requirements and share information with colleagues and supervisors.
• Develop and maintain 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 and quarterly and annual incentive programs.
• Paid professional certifications.
• Tuition reimbursement.
• Comprehensive benefits, including healthcare, time off, retirement, and well-being programs.
• Career advancement and professional development.

What This Job Offers

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