Senior Public Benefit Specialist
About The Position
Ensemble is hiring a Senior Public Benefit Specialist to interview uninsured or under-insured patients and determine their eligibility for state Medicaid benefits or a location’s Financial Assistance program. The role supports accurate application submissions and follows applications through the determination process to help ensure timely billing or account adjustments. This position is on-site at HSHS - St. Vincent's Hospital in Green Bay, Wisconsin. The Specialist reviews referred patients for program eligibility, coordinates applications, communicates with patients to obtain required documentation, updates insurance information, and records relevant actions in patient accounting systems. The role also maintains knowledge of state and federal program requirements and builds working relationships with Medicaid caseworkers and colleagues across revenue cycle departments. The listed pay range is $20.45–$22.50 per hour, depending on experience. Ensemble offers comprehensive benefits, paid certifications, tuition reimbursement, career advancement opportunities, and incentive programs. The required CRCR certification is company-paid and must be obtained within nine months of hire.
Requirements
- 1–2 years of experience in the healthcare industry interacting with patients regarding hospital financial issues.
- Must be inquisitive and open 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 nine months of hire; the company pays for the certification.
Nice To Haves
- Understanding of revenue cycle processes, 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 eligibility for available programs 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 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.
- Collaborate with other revenue cycle departments and associates.
- Perform other duties as assigned.
Benefits
- Comprehensive benefits package, including healthcare, time off, retirement, and well-being programs.
- Company-paid professional certification.
- Tuition reimbursement.
- Career advancement and professional development opportunities.
- Quarterly and annual incentive programs.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
High school or GED
