Public Benefit Specialist

Ensemble Health Partners • Abingdon, VA

1d • Onsite

About The Position

Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. The company recognizes that healthcare requires a human touch and believes every touch should be meaningful, empowering their people to challenge the status quo. Their O.N.E Purpose focuses on Customer Obsession, Embracing New Ideas, and Striving for Excellence. The Public Benefit Specialist interviews uninsured/under-insured patients to determine eligibility for state Medicaid benefits or location Financial Assistance programs, assists with application processes, and follows up on submitted applications to ensure timely billing or adjustment processing.

Requirements

• 1-2 years of experience in healthcare industry, interacting with patients regarding hospital financial issues
• Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences
• High School Diploma or GED
• CRCR within 9 months of hire

Nice To Haves

• Understanding of Revenue Cycle including admission, billing, payments and denials
• Comprehensive knowledge of patient insurance process for obtaining authorizations and benefits verification
• Knowledge of Health Insurance requirements
• Knowledge of medical terminology or CPT or procedure codes
• Patient Access experience with managed care/insurance and Call Center experience highly preferred
• Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences

Responsibilities

• Reviewing all referred uninsured/under-insured patients for program eligibility opportunities, initializing and coordinating the application process to facilitate accurate and appropriate submissions
• Effectively communicating with the patient to obtain documents that must accompany the application
• Following submitted applications to determination point, updating applicable insurance information and ensuring timely billing or adjustment posting
• Documenting all relevant actions and communication steps in assigned patient accounting systems
• Maintaining working knowledge of all state and federal program requirements; shares information with colleagues and supervisors
• Developing and maintaining proactive working relationship with county/state/federal Medicaid caseworker partners, working collaboratively with other revenue cycle departments and associates
• Other job duties as assigned

Benefits

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs
• Career Advancement
• Investment in professional development
• Quarterly and annual incentive programs for all employees

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 501-1,000 employees