Public Benefit Specialist
About The Position
Ensemble is a provider of technology-enabled revenue cycle management solutions for health systems. The Public Benefit Specialist interviews uninsured and under-insured patients to assess eligibility for state Medicaid benefits or the location’s Financial Assistance program. The specialist assists patients with applications, follows up on submissions, and supports timely billing or adjustment processing. This position is based on-site at Union Hospital in Terre Haute, Indiana, and pays $18.65–$20.50 per hour based on experience. The role involves reviewing referred patients for program eligibility, coordinating application submissions, communicating with patients to obtain supporting documents, tracking applications through determination, updating insurance information, and recording actions in patient accounting systems. The specialist maintains knowledge of state and federal program requirements and works with Medicaid caseworkers and revenue cycle colleagues. Ensemble describes its purpose through customer obsession, embracing new ideas, and striving for excellence. The company offers a comprehensive benefits package, professional development and certification opportunities, tuition reimbursement, career advancement, and incentive programs.
Requirements
- One to two 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.
- Be inquisitive and open to innovation, including the use of 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.
- Communicate with patients to obtain documents required to accompany applications.
- Follow submitted applications through determination, 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 duties as assigned.
Benefits
- Bonus incentives
- Paid certifications
- Tuition reimbursement
- Comprehensive benefits package, including healthcare, time off, retirement, and well-being programs
- Career advancement
- Quarterly and annual incentive programs
- Professional development
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
