Public Benefit Specialist

Ensemble Health Partners • Tyler, TX

2d • Onsite

About The Position

The Public Benefit Specialist interviews uninsured and under-insured patients to determine eligibility for state Medicaid benefits or location-specific Financial Assistance programs. The specialist assists patients with applications, follows up through determination, and helps ensure accurate and timely billing or account adjustments. This position is on-site at Ardent - UT Health Tyler in Tyler, Texas, and pays $18.65–$20.50 per hour based on experience.

The role requires 1–2 years of healthcare-industry experience interacting with patients about hospital financial issues. Candidates must be inquisitive and open to innovation, including AI, to improve processes and patient and client experiences. A high school diploma or GED is required; a combination of post-secondary education and experience may be considered in lieu of a degree. CRCR certification is required within nine months of hire.

Requirements

• 1–2 years of healthcare-industry experience interacting with patients regarding hospital financial issues.
• Inquisitiveness and openness to innovation, including AI, to explore improved processes and reduce friction in patient and client experiences.
• High school diploma or GED; a combination of post-secondary education and experience may be considered in lieu of a degree.
• CRCR certification within nine months of hire.

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 and Call Center experience are highly preferred.

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 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
• Paid certifications
• Tuition reimbursement
• Comprehensive benefits, including healthcare, time off, retirement, and well-being programs
• Quarterly and annual incentive programs

What This Job Offers

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