Public Benefit Specialist

Ensemble Health Partners • Richmond, VA

11d • 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 the application process, follows up on submitted applications, and helps ensure timely billing or adjustment processing. The position is on-site at Bon Secours – St. Francis Medical Center in Midlothian, Virginia, and pays $18.65–$20.50 based on experience.

The role requires maintaining accurate documentation in assigned patient accounting systems, staying current on state and federal program requirements, and working proactively with Medicaid caseworkers and revenue cycle colleagues. The required CRCR certification must be obtained within nine months of hire; the company pays for it.

Requirements

• 1–2 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; company paid.
• 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.
• Inquisitive approach and openness to innovation, including AI, to explore better processes and improve patient and client experiences.

Nice To Haves

• Knowledge of medical terminology, CPT codes, 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 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 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 job duties as assigned.

Benefits

• Bonus incentives and quarterly and annual incentive programs.
• Tuition reimbursement.
• Comprehensive benefits package, including healthcare, time off, retirement, and well-being programs.
• Company-paid CRCR certification.
• Professional development and career advancement opportunities.

What This Job Offers

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