Public Benefit Specialist

Ensemble Health Partners • Sandusky, OH

8d • $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 to support accurate submissions and follows applications through the determination process to help ensure timely billing or adjustment processing. This position is on-site at Firelands Regional Medical Center in Sandusky, Ohio, and pays $18.65–$20.50 based on experience.

The role requires 1–2 years of experience in the healthcare industry interacting with patients about hospital financial issues. A high school diploma or GED is required; a combination of post-secondary education and experience may be considered in lieu of a degree. The CRCR certification must be obtained within nine months of hire.

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.
• Must be inquisitive and open to innovation, including AI, to explore improved processes and ways to reduce friction 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 and Call Center experience are highly preferred.

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 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 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 opportunities.

What This Job Offers

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