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 9/17/2026full-timeToledo • Ohio • 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, insurance verification, and medical terminology. 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 ManagementInsurance VerificationMedical Terminology KnowledgeCRCR Certification

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Patient AccessApplication ProcessingBilling and PaymentsCPT CodesDenials ManagementFinancial Assistance ProgramsInsurance ProcessesDocumentationEligibility ReviewTimely Billing

Soft Skills

CommunicationCollaborationOpenness to Innovation

Tools & Technologies

Patient Accounting Systems

Certifications & Qualifications

CRCR Certification

Industry Keywords

Healthcare IndustryMedicaidManaged CareCall Center ExperienceState and Federal Program Requirements

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 uninsured and under-insured patients for program eligibility opportunities
Initiate and coordinate the application process
Communicate with patients to obtain required application documents
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
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 preferred
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

Benefits

Comp & perks

Bonus Incentives
Paid Certifications
Tuition Reimbursement
Comprehensive benefits package 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
Work-life flexibility
Career advancement opportunities