Public Benefit Specialist

Ensemble Health Partners

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

Posted 11/2/2026full-timeJohnson City • Tennessee • United StatesJunior💰 $19 - $21 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in patient eligibility determination for Medicaid and financial assistance programs, with a strong understanding of revenue cycle processes and health insurance requirements. Proven ability to communicate effectively with patients and collaborate with healthcare partners to ensure timely application submissions and billing.

Highest-signal resume keywords

CRCR CertificationRevenue Cycle KnowledgePatient Insurance ProcessesMedical Terminology KnowledgePatient Access Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Eligibility DeterminationApplication ProcessingBilling and PaymentsCPT/Procedure CodesInsurance Verification

Soft Skills

CommunicationCollaborationOpenness to Innovation

Tools & Technologies

Patient Accounting Systems

Certifications & Qualifications

CRCR Certification

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 to ensure timely billing or adjustment processing
Review referred patients for program eligibility opportunities and coordinate applications
Communicate with patients to obtain required application documents
Update applicable 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 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 assigned duties

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
High School Diploma or GED
Combination of post-secondary education and experience may be considered in lieu of degree
CRCR certification required within 9 months of hire
Understanding of revenue cycle, including admission, billing, payments, and denials
Knowledge of patient insurance processes for 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
Must reside and be authorized to work within the United States

Benefits

Comp & perks

Bonus incentives
Paid certifications
Tuition reimbursement
Comprehensive healthcare, time off, retirement, and well-being benefits
Career advancement opportunities
Professional development
Quarterly and annual incentive programs
Company-paid CRCR certification within 9 months of hire
Reasonable accommodations for qualified individuals with disabilities