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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 a strong understanding of revenue cycle processes, insurance verification, and medical terminology. Capable of maintaining relationships with Medicaid caseworkers and collaborating effectively with revenue cycle departments.
Highest-signal resume keywords
Patient Eligibility DeterminationRevenue Cycle KnowledgeInsurance VerificationCRCR 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
Medical TerminologyCPT CodesApplication ProcessingBilling and PaymentsDenials Management
Soft Skills
CommunicationCollaborationRelationship BuildingOpenness to Innovation
Tools & Technologies
Patient Accounting Systems
Certifications & Qualifications
CRCR Certification
Industry Keywords
MedicaidFinancial Assistance ProgramsHealthcare IndustryInsurance ProcessesManaged Care
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 to ensure timely billing or adjustment processing
- Review referred patients for program eligibility opportunities and coordinate application processes
- Communicate with patients to obtain required application documents
- Follow applications through determination, update insurance information, and ensure timely billing or adjustment posting
- Document relevant actions and communication in patient accounting systems
- Maintain working knowledge of state and federal program requirements and share information with colleagues and supervisors
- Develop and maintain 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
- 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
- Openness to innovation, including AI
- High School Diploma or GED, or combination of post-secondary education and experience in lieu of degree
- CRCR certification 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
- Professional development opportunities
- Professional certification relevant to the associate’s field
- Quarterly and annual incentive programs
- Career advancement opportunities
- Work-life flexibility