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Public Benefit Specialist
Ensemble Health Partners. Review referred uninsured/under-insured patients for program eligibility opportunities .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient insurance processes, including authorizations and benefits verification, while maintaining knowledge of state and federal program requirements. Strong ability to communicate effectively with patients and collaborate with revenue cycle departments to ensure timely billing and application processes.
Highest-signal resume keywords
Patient Insurance ProcessesRevenue Cycle KnowledgeMedical TerminologyCRCR CertificationPatient Access Experience
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 CoordinationBilling and PaymentsBenefits VerificationCPT Codes KnowledgeInsurance Information Update
Soft Skills
CommunicationCollaborationOpenness to Innovation
Tools & Technologies
Patient Accounting Systems
Certifications & Qualifications
CRCR Certification
Industry Keywords
Healthcare IndustryMedicaid BenefitsFinancial Assistance ProgramsManaged CareCall Center Experience
About the role
Key responsibilities & impact- Review referred uninsured/under-insured patients for program eligibility opportunities
- Initiate and coordinate application processes for state Medicaid benefits or local financial assistance programs
- Communicate with patients to obtain required application documents
- Follow submitted applications through determination
- Update insurance information and ensure timely billing or adjustment posting
- Document relevant actions and communications in patient accounting systems
- Maintain working knowledge of state and federal program requirements
- Share program information with colleagues and supervisors
- Develop and maintain working relationships with county, state, and federal Medicaid caseworkers
- 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
- Must demonstrate openness to innovation, including AI
- Understanding of revenue cycle, including admission, billing, payments, and denials
- Knowledge of patient insurance processes 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
- High School Diploma or GED
- Combination of post-secondary education and experience will be considered in lieu of degree
- CRCR certification within 9 months of hire (company paid)
Benefits
Comp & perks- Bonus Incentives
- Paid Certifications
- Tuition Reimbursement
- Comprehensive benefits package including healthcare, time off, retirement, and well-being programs
- Professional certification relevant to the associate’s field
- Quarterly and annual incentive programs
- Career advancement
- Work-life flexibility
- Professional development
- Reasonable accommodations for qualified individuals with disabilities