Public Benefit Specialist

Posted 16 Days Ago
Be an Early Applicant
Gateway, AK
1-3 Years Experience
Healthtech • Financial Services
The Role
The Public Benefit Specialist interviews uninsured or under-insured patients to determine eligibility for Medicaid or financial assistance programs. This role involves coordinating application processes, following up on submissions, and maintaining relationships with Medicaid case workers. Essential duties include ensuring timely billing, documenting actions in patient accounting systems, and keeping up-to-date with program requirements.
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 VCUHS in Richmond, VA**

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.

Employment Qualifications:

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.

    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].

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    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.

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