Public Benefit Specialist
About The Position
The Public Benefit Specialist interviews uninsured and under-insured patients to determine eligibility for state Medicaid benefits or a local Financial Assistance program. The specialist assists with applications, follows up through the determination process, and helps ensure accurate submissions and timely billing or adjustment processing. The position is on-site at Tower - Reading Hospital in West Reading, Pennsylvania, and pays $18.65–$20.50 per hour, based on experience. The role requires communication with patients to obtain application documentation, documentation of actions and communications in patient accounting systems, and coordination with county, state, and federal Medicaid caseworkers. The specialist also works with colleagues, supervisors, and other revenue cycle departments, maintains knowledge of program requirements, and may perform other assigned duties. 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.
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.
- Inquisitiveness and openness to innovation, including AI, to explore better processes and improve patient and client experiences.
- Bilingual speaking proficiency in Spanish and English.
Responsibilities
- Review referred uninsured and under-insured patients for program eligibility and initiate and coordinate applications for accurate submission.
- Communicate with patients to obtain documents required for 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 duties as assigned.
Benefits
- Bonus incentives
- Paid certifications
- Tuition reimbursement
- Comprehensive benefits, including healthcare, time off, retirement, and well-being programs
- Career advancement
- Quarterly and annual incentive programs
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
