Public Benefit Specialist

Ensemble Health Partners • Lewiston, ME

5d • $20 - $22 • Onsite

About The Position

The Public Benefit Specialist interviews uninsured and under-insured patients to determine eligibility for state Medicaid benefits or a location Financial Assistance program. The specialist assists with applications, facilitates accurate submissions, and follows up on submitted applications to support timely billing or adjustment processing. This is an on-site position at Covenant - St. Mary's in Lewiston, Maine, paying $19.55–$21.50 based on experience.

Requirements

• 1–2 years of healthcare industry experience interacting with patients about hospital financial issues.
• Inquisitiveness and openness to innovation, including AI, to explore improved processes and reduce friction in patient and client experiences.
• 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 9 months of hire; certification is 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 is highly preferred.
• Call Center experience is highly preferred.

Responsibilities

• Review referred uninsured and under-insured patients for program eligibility opportunities and initiate and coordinate the application process.
• 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 communications 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, and collaborate with revenue cycle departments and associates.
• Perform other job duties as assigned.

Benefits

• Bonus incentives
• Paid certifications
• Tuition reimbursement
• Comprehensive benefits, including healthcare, time off, retirement, and well-being programs
• Career advancement and professional development
• Quarterly and annual incentive programs

What This Job Offers

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