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Public Benefit Specialist
Ensemble Health Partners. Interview uninsured and under-insured patients to determine eligibility for state Medicaid benefits or location 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 and health insurance requirements. Capable of effectively communicating with patients and collaborating with healthcare partners to ensure timely application processing and billing.
Highest-signal resume keywords
Patient Eligibility DeterminationRevenue Cycle ManagementHealth Insurance KnowledgeMedical TerminologyCRCR Certification
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 PaymentsBenefits VerificationCPT CodesPatient Access Experience
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 location 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 uninsured/under-insured patients for program eligibility opportunities
- Initialize and coordinate application processes
- Communicate with patients to obtain documents required for 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, 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
- Comprehensive 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
- Must 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 certification within 9 months of hire
- Must reside 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 certification relevant to the associate’s field
- Quarterly and annual incentive programs
- Career advancement opportunities
- Work-life flexibility
- Professional development
- Reasonable accommodations for qualified individuals with disabilities