Public Benefit Specialist

Posted 4 Days Ago
Be an Early Applicant
Reading, PA
Junior
Healthtech • Financial Services
The Role
The Public Benefit Specialist interviews uninsured or under-insured patients to determine their eligibility for Medicaid benefits or financial assistance programs, assists in application processes, follows up on submitted applications, and maintains communication with relevant parties to ensure accurate billing and documentation.
Summary Generated by Built In

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 Tower-Reading Hospital **

Interviews uninsured/under-insured patients to determine eligibility for a state Medicaid benefit or location Financial Assistance program. Assists with application processes to facilitate accurate and appropriate submissions. Follows-up on submitted applications to insure timely billing or adjustment processing.

Essential Job Functions:

  • Reviewing all referred uninsured/under-insured patients for program eligibility opportunities, initializing and coordinating the application process to facilitate accurate and appropriate submissions
  • Effectively communicating with the patient to obtain documents that must accompany the application
  • Following submitted applications to determination point, updating applicable insurance information and ensuring timely billing or adjustment posting
  • Documenting all relevant actions and communication steps in assigned patient accounting systems
  • Maintaining working knowledge of all state and federal program requirements; shares information with colleagues and supervisors
  • Developing and maintaining proactive working relationship with county/state/federal Medicaid caseworker partners, working collaboratively with other revenue cycle departments and associates.
  • Other job duties as assigned.

Minimum years and type of experience:

  • 1-2 years of experience in healthcare industry, interacting with patients regarding hospital financial issues.

    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)

    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.

    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].

    This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role’s range.

    EEOC – Know Your Rights
    FMLA Rights - English

    La FMLA Español

    The Company
    HQ: Cincinnati, OH
    3,463 Employees
    On-site Workplace
    Year Founded: 2014

    What We Do

    Ensemble Health Partners is a leading innovator in revenue cycle management, helping healthcare providers improve financial outcomes and patient experiences with an unrivaled depth of expertise and best-in-class technologies. Ensemble offers full revenue cycle outsourcing as well as a comprehensive suite of healthcare financial management point solutions. With clients spanning the U.S. and Europe, we have been helping to improve healthcare outcomes for millions of patients while saving hundreds of millions of dollars for healthcare providers. We are committed to bringing every provider that we support to the peak of revenue cycle excellence. Our approach forges true partnerships that dive deep into the details to find solutions and deliver results that last. Recognized with multiple industry awards and as a Becker’s Healthcare Top Workplace, Ensemble is setting a new standard for provider support services - redefining the possible in healthcare by empowering people to be the difference.

    Similar Jobs

    Ensemble Health Partners Logo Ensemble Health Partners

    Public Benefit Specialist

    Healthtech • Financial Services
    Phoenixville, PA, USA
    3463 Employees

    TransUnion Logo TransUnion

    Advisor, Customer Support Operations

    Big Data • Fintech • Information Technology • Business Intelligence • Financial Services • Cybersecurity • Big Data Analytics
    4 Locations
    13000 Employees

    Ahold Delhaize USA Logo Ahold Delhaize USA

    Organizational Development Specialist II

    AdTech • eCommerce • Food • Marketing Tech • Retail
    Carlisle, PA, USA
    10000 Employees
    Hybrid
    Philadelphia, PA, USA
    289097 Employees

    Similar Companies Hiring

    Energy CX Thumbnail
    Utilities • Professional Services • Greentech • Financial Services • Energy • Consulting • Business Intelligence
    Chicago, IL
    55 Employees
    MassMutual India Thumbnail
    Insurance • Information Technology • Fintech • Financial Services • Big Data
    Hyderabad, Telangana
    Cencora Thumbnail
    Pharmaceutical • Logistics • Healthtech
    Conshohocken, PA
    46000 Employees

    Sign up now Access later

    Create Free Account

    Please log in or sign up to report this job.

    Create Free Account