Public Benefit Specialist

Ensemble Health Partners • Tulsa, OK

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 application processes to support accurate and appropriate submissions, follows up on submitted applications through determination, and helps ensure timely billing or adjustment processing. This position is on-site at Ardent - Hillcrest South in Tulsa, Oklahoma, and pays $18.65–$20.50 per hour based on experience. A CRCR certification is required within nine months of hire.

Requirements

• One to two 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.
• Demonstrate inquisitiveness and openness to innovation, including 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 is highly preferred.
• Call Center experience is highly preferred.

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 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.
• Work collaboratively with other revenue cycle departments and associates.
• Perform other 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