Public Benefit Specialist

Ensemble Health Partners • Atlanta, GA

3d • Onsite

About The Position

The Public Benefit Specialist interviews uninsured and under-insured patients to determine eligibility for state Medicaid benefits or local Financial Assistance programs. The specialist assists patients with application processes, follows up on applications through determination, and helps ensure timely billing or adjustment processing. This position is on-site in Atlanta, Georgia, and pays $18.65–$20.50 per hour, based on experience.

The role requires maintaining working knowledge of state and federal program requirements and working proactively with county, state, and federal Medicaid caseworker partners, as well as other revenue cycle departments and associates. The position requires a high school diploma or GED; a combination of post-secondary education and experience may be considered in lieu of a degree. 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; certification is company-paid.
• Inquisitiveness and openness to innovation, including AI, to explore better processes and improve patient and client experiences.

Nice To Haves

• Understanding of the revenue cycle, including admission, billing, payments, and denials.
• Comprehensive knowledge of patient insurance processes for obtaining authorizations and benefits verification.
• Knowledge of health insurance requirements.
• Knowledge of medical terminology, CPT, or procedure codes.
• Patient Access experience with managed care or insurance.
• Call Center experience.

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 determination, update applicable insurance information, and ensure timely billing or adjustment posting.
• Document relevant actions and communication steps 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
• Company-paid CRCR certification
• Professional development and relevant professional certification
• Quarterly and annual incentive programs

What This Job Offers

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