Senior Public Benefit Specialist

Ensemble Health Partners • Atlanta, GA

6d • Onsite

About The Position

The Senior Public Benefit Specialist interviews uninsured and under-insured patients to determine eligibility for state Medicaid benefits or location-specific financial assistance programs. The specialist helps patients complete applications, follows up through determination, and supports timely billing or account adjustments. The role is based on-site in Atlanta, Georgia, and requires patient communication, accurate documentation, knowledge of program requirements, and collaboration with internal revenue cycle teams and public agency caseworkers.

Requirements

• 1–2 years of experience in the healthcare industry interacting with patients about hospital financial issues.
• High school diploma or GED; a combination of post-secondary education and experience may be considered in lieu of a degree.
• Must be inquisitive and open to innovation, including AI, to explore better processes and improve patient and client experiences.
• Obtain CRCR certification within 9 months of hire; the company pays for the certification.

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 and coordinate the application process 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 caseworkers.
• Collaborate with other revenue cycle departments and associates.
• Perform other duties as assigned.

Benefits

• Bonus incentives and quarterly and annual incentive programs.
• Company-paid CRCR certification.
• Tuition reimbursement.
• Comprehensive benefits package, including healthcare, time off, retirement, and well-being programs.
• Career advancement opportunities.
• Professional development and relevant professional certification opportunities.
• Reasonable accommodations for qualified individuals with disabilities.

What This Job Offers

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