Public Benefit Specialist

Ensemble Health Partners • Tulsa, OK

7d • 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 submissions through to a determination, updates applicable insurance information, and helps ensure billing or adjustment processing is timely. The role is on-site at Ardent - Hillcrest South in Tulsa, Oklahoma, and pays $18.65–$20.50 per hour based on experience. A CRCR certification must be obtained within nine months of hire.

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.
• Obtain 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 codes, 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.

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 to 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
• Tuition reimbursement
• Comprehensive benefits, including healthcare, time off, retirement, and well-being programs
• Professional certification relevant to the associate's field
• Quarterly and annual incentive programs

What This Job Offers

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