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Public Benefit Specialist
Ensemble Health Partners. Interview uninsured/under-insured patients to determine eligibility for a state Medicaid benefit or local Financial Assistance program .
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 a strong understanding of revenue cycle processes, including billing and insurance verification. Maintains effective communication and collaboration with patients and healthcare partners to ensure timely application processing and compliance with state and federal requirements.
Highest-signal resume keywords
Patient Eligibility DeterminationRevenue Cycle ManagementInsurance VerificationMedical Terminology KnowledgePatient 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 ProcessingBilling and PaymentsCPT CodingBenefits VerificationFinancial Assistance Programs
Soft Skills
Inquisitive NatureOpenness to InnovationCommunication Skills
Tools & Technologies
Patient Accounting Systems
Certifications & Qualifications
CRCR
Industry Keywords
Healthcare IndustryManaged CareCall Center ExperienceState and Federal Program Requirements
About the role
Key responsibilities & impact- Interview uninsured/under-insured patients to determine eligibility for a state Medicaid benefit or local Financial Assistance program
- Assist with application processes to facilitate accurate and appropriate submissions
- Follow up on submitted applications to ensure timely billing or adjustment processing
- Review referred uninsured/under-insured patients for program eligibility opportunities
- Initiate and coordinate the application process
- Communicate with patients to obtain documents accompanying applications
- Follow submitted applications through determination, update applicable insurance information, and ensure timely billing or adjustment posting
- Document relevant actions and communication steps in assigned patient accounting systems
- Maintain working knowledge of state and federal program requirements and share information with colleagues and supervisors
- Develop and maintain working relationships with county/state/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
- Must be inquisitive and demonstrate openness to innovation including AI
- 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
- 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 (Company Paid)
Benefits
Comp & perks- Bonus Incentives
- Paid Certifications
- Tuition Reimbursement
- Comprehensive Benefits, including healthcare, time off, retirement, and well-being programs
- Career Advancement
- Professional certification relevant to the associate’s field
- Quarterly and annual incentive programs
- Work-Life Flexibility
- Professional development opportunities