Public Benefit Specialist

Ensemble Health Partners • Johnson City, TN

7d • 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 role supports patients through application preparation and submission, follows up on applications through determination, and helps ensure timely billing or adjustment processing. This is an on-site position at Ballad - Johnson City Medical Center in Johnson City, Tennessee, with a Monday–Friday schedule from 1:00 p.m. to 9:30 p.m. The position pays $18.65–$20.50, based on experience.

The specialist works with patients to obtain required documentation, maintains accurate records in patient accounting systems, and coordinates with Medicaid caseworkers and other revenue cycle teams. The role requires a working knowledge of relevant state and federal program requirements and a commitment to improving patient and client experiences.

Requirements

• One to two 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; the company pays for the certification.
• Be inquisitive and open 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 verifying benefits.
• 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 eligibility for available programs and initiate and coordinate the application process.
• 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 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
• Company-paid certification
• Tuition reimbursement
• Comprehensive benefits, including healthcare, time off, retirement, and well-being programs
• Quarterly and annual incentive programs

What This Job Offers

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