Public Benefit Specialist

Ensemble Health Partners

. Interview uninsured/under-insured patients to determine eligibility for a state Medicaid benefit or local Financial Assistance program .

Posted 10/30/2026full-timeAlbuquerque • New Mexico • 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, patient insurance verification, and medical terminology. Proven ability to collaborate effectively with healthcare partners and maintain accurate documentation in patient accounting systems.

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 ProcessingBilling and PaymentsCPT CodesBenefits VerificationFinancial Assistance Programs

Soft Skills

CommunicationCollaborationInquisitivenessOpenness to Innovation

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 and coordinate application processes
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 patient accounting systems
Maintain 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
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 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
Quarterly and annual incentive programs
Career Advancement
Work-Life Flexibility