Senior Public Benefit Specialist

Ensemble Health Partners • Atlanta, GA

8d • $20 - $23 • Onsite

About The Position

The Senior Public Benefit Specialist interviews uninsured and under-insured patients to determine eligibility for state Medicaid benefits or location-based Financial Assistance programs. The specialist assists patients with application processes, follows submitted applications through determination, and helps ensure timely billing or adjustment processing. This position is on-site in Atlanta, Georgia. The stated pay range is $20.45–$22.50 per hour, depending on experience. CRCR certification is company-paid and required within nine months of hire.

Requirements

• 1–2 years of experience in the healthcare industry 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.
• CRCR certification within nine 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 or CPT or procedure codes.
• Patient Access experience with managed care or insurance and call center experience are highly preferred.

Responsibilities

• Review referred uninsured and under-insured patients for program eligibility and initiate and coordinate application processes to support accurate submissions.
• 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 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, including quarterly and annual incentive programs.
• Paid professional certification, including CRCR.
• Tuition reimbursement.
• Comprehensive benefits package, including healthcare, time off, retirement, and well-being programs.
• Career advancement and professional development opportunities.

What This Job Offers

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