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Bilingual Public Benefit Specialist
Ensemble Health Partners. Interview uninsured and under-insured patients to determine eligibility for state Medicaid benefits or local financial assistance programs .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient eligibility determination for Medicaid and financial assistance programs, with strong knowledge of revenue cycle processes and health insurance requirements. Bilingual proficiency in Spanish and English enhances communication with diverse patient populations.
Highest-signal resume keywords
Patient Eligibility DeterminationRevenue Cycle KnowledgeBilingual Proficiency in Spanish/EnglishPatient Access ExperienceCRCR Certification
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Application Process AssistanceInsurance Information UpdatingBenefits VerificationMedical Terminology KnowledgeCPT/Procedure Codes Understanding
Soft Skills
Communication SkillsRelationship BuildingCollaboration
Tools & Technologies
Patient Accounting Systems
Certifications & Qualifications
CRCR
Industry Keywords
Healthcare IndustryMedicaidFinancial Assistance ProgramsManaged CareCall Center Experience
About the role
Key responsibilities & impact- Interview uninsured and under-insured patients to determine eligibility for state Medicaid benefits or local financial assistance programs
- Assist with application processes to facilitate accurate and appropriate submissions
- Follow up on submitted applications through determination
- Review referred patients for program eligibility opportunities and coordinate application processes
- Communicate with patients to obtain required supporting documents
- Update applicable insurance information and ensure timely billing or adjustment posting
- Document actions and communications in assigned patient accounting systems
- Maintain 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 revenue cycle departments and associates
- Perform other duties as assigned
Requirements
What you’ll need- 1-2 years of experience in the healthcare industry interacting with patients regarding hospital financial issues
- Bilingual speaking proficiency in Spanish/English
- Understanding of revenue cycle including admission, billing, payments, and denials
- Comprehensive knowledge of patient insurance processes for obtaining authorizations and benefits verification
- Knowledge of health insurance requirements
- Knowledge of medical terminology or CPT/procedure codes
- Patient Access experience with managed care/insurance highly preferred
- Call Center experience highly preferred
- Openness to innovation, including AI
- Must reside in and be authorized to work within the United States
- Must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require
- High School Diploma or GED
- Combination of post-secondary education and experience may be considered in lieu of degree
- CRCR required within 9 months of hire
Benefits
Comp & perks- Bonus Incentives
- Paid certifications
- Tuition reimbursement
- Comprehensive benefits package including healthcare, time off, retirement, and well-being programs
- Career advancement
- Professional development
- Quarterly and annual incentive programs
- CRCR certification paid by the company