Public Benefit Specialist

Ensemble Health Partners

. Interview uninsured/under-insured patients to determine eligibility for state Medicaid benefits or local financial assistance programs .

Posted 10/30/2026full-timeO'Fallon • Illinois • United StatesJunior💰 $19 - $21 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in patient eligibility determination for Medicaid benefits and financial assistance programs, with a strong understanding of revenue cycle processes, insurance verification, and medical terminology. Capable of building relationships with healthcare partners and collaborating effectively within revenue cycle departments.

Highest-signal resume keywords

Patient Eligibility DeterminationRevenue Cycle KnowledgeInsurance VerificationMedical TerminologyPatient Access Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Application ProcessingBillingPaymentsDenials ManagementCPT CodesProcedure CodesPatient Accounting SystemsDocument ManagementFinancial Assistance ProgramsMedicaid Caseworker Collaboration

Soft Skills

InquisitiveOpenness to InnovationCommunicationRelationship BuildingCollaboration

Certifications & Qualifications

CRCR

Industry Keywords

Healthcare IndustryPatient Insurance ProcessManaged CareCall Center ExperienceState and Federal Program Requirements

About the role

Key responsibilities & impact

Interview uninsured/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 the determination point
Update applicable insurance information and ensure timely billing or adjustment posting
Obtain required patient documents
Document relevant actions and communications in assigned 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 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 healthcare industry, interacting with patients regarding hospital financial issues
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
Must be inquisitive and demonstrate openness to innovation including AI
High School Diploma or GED
Combination of post-secondary education and experience will be considered in lieu of degree
CRCR within 9 months of hire
Must reside in and be authorized to work within the United States

Benefits

Comp & perks

Bonus Incentives
Paid Certifications
Tuition Reimbursement
Comprehensive Benefits, including healthcare, time off, retirement, and well-being programs
Career Advancement
Professional development opportunities
Quarterly and annual incentive programs
Work-Life Flexibility