Public Benefit Specialist III

Thank you for considering a career at Ensemble Health Partners!

Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.

Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference

The Opportunity:

CAREER OPPORTUNITY OFFERING:

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement

**This Position is On-Site at Summit Hospital in Show Low, AZ**

Coordinates the day to day task functionality of the Eligibility Services department. Maintains thorough working knowledge of department policies and procedures. Maintains thorough working knowledge of relevant federal, state, and county benefit program requirements as well as Charity / Hospital Financial Assistance programs. Collaborates with SMARTS , and shares information with colleagues and Supervisors. Assists with quality assurance audits and team productivity. Assists with various reporting, projects, and DIBS. Acts as floater to erase deficiencies when work volume spikes or staffing gaps are present. Subject matter expert for system build partnership, workflow enhancement management, and partnering with external departments for build resolution.

Essential Job Functions:

• Reviews all referred uninsured/underinsured patients for potential program eligibility opportunities.
• Initializes and coordinates the application process to facilitate accurate and appropriate submissions.
• Effectively communicates with the patient to obtain documents that must accompany the application.
• Follows submitted applications to determination point, updates applicable insurance information and ensures timely billing or adjustment posting.
• Documents all relevant actions and communication steps in assigned patient accounting systems.
• Maintains working knowledge of all state & federal program requirements; shares information with colleagues and supervisors.
• Maintains working knowledge of assigned health system's financial assistance policy and application requirements.
• Develops & maintains proactive working relationship with county/state/federal Medicaid caseworker partners.
• Works collaboratively with other revenue cycle departments and associates with a special emphasis on Case Management and Patient Access.

Minimum years and type of experience:

• High School Diploma, GED, or Equivalent Experience
• 1-2 years of experience in healthcare industry, interacting with patients regarding hospital financial issues.
• 1-2 years of people management experience

Other knowledge, skills, and abilities preferred:

• Understanding of Revenue Cycle including admission, billing, payments and denials.
• Comprehensive knowledge of patient insurance process for obtaining authorizations and benefits verification.
• Knowledge of Health Insurance requirements. Knowledge of medical terminology or CPT or procedure codes.
• Patient Access experience with managed care/insurance and Call Center experience highly preferred.

Minimum Education:

• High School Diploma or GED.
• Combination of post-secondary education and experience will be considered in lieu of degree.

Certifications:

• CRCR within 9 months of hire (Company Paid)

Join an award-winning company

Three-time winner of "Best in KLAS" 2020-2022

2022 Top Workplaces Healthcare Industry Award

2022 Top Workplaces USA Award

2022 Top Workplaces Culture Excellence Awards

• Innovation
• Work-Life Flexibility
• Leadership
• Purpose + Values

Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:

• Associate Benefits - We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
• Our Culture - Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
• Growth - We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
• Recognition - We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.

Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.

Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact [email protected].

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