Public Benefit Specialist

Ensemble Health Partners • Work at Home - Indiana - Other, IN

1d • $17 - $21 • Remote

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 ensure accurate submissions and follows up on applications through determination to facilitate timely billing or adjustment processing. This is a remote position, though travel to and work at client, temporary, or corporate office locations may be required as business needs dictate.

The role requires maintaining knowledge of state and federal program requirements and working collaboratively with patients, Medicaid caseworker partners, colleagues, supervisors, and other revenue cycle departments. The position requires a high school diploma or GED, or an equivalent combination of post-secondary education and experience. The CRCR certification is required within nine months of hire and is company paid.

Requirements

• 1–2 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.
• CRCR certification required within 9 months of hire; company paid.
• Must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require.
• Must reside and be authorized to work in the United States.

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 or CPT or procedure codes.
• Patient Access experience with managed care or insurance and Call Center experience are highly preferred.
• Inquisitiveness and openness to innovation, including AI, to explore improved processes and reduce friction for patients and clients.

Responsibilities

• Review referrals for uninsured or under-insured patients to identify program eligibility opportunities and coordinate application submissions.
• 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 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 certifications, including the required CRCR certification.
• 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