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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 and patient insurance requirements. Proven ability to communicate effectively with patients and collaborate with healthcare partners to facilitate application processes.
Highest-signal resume keywords
Patient Eligibility DeterminationRevenue Cycle KnowledgeInsurance Processes UnderstandingCRCR 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
Application ProcessesBillingPaymentsDenialsMedical TerminologyCPT CodesBenefits VerificationInsurance Information UpdatingDocumentation in Patient Accounting SystemsFinancial Issues Interaction
Soft Skills
CommunicationCollaborationRelationship BuildingOpenness to Innovation
Certifications & Qualifications
CRCR Certification
Industry Keywords
Healthcare IndustryMedicaidFinancial Assistance ProgramsManaged 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 through determination to ensure timely billing or adjustment processing
- Review referred uninsured and under-insured patients for program eligibility opportunities
- Initiate and coordinate application processes
- Communicate with patients to obtain required application documents
- Update applicable insurance information
- Document relevant actions and communications in patient accounting systems
- Maintain working knowledge of state and federal program requirements
- Share program 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 preferred
- Call Center experience highly preferred
- 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 in and be authorized to work within the United States
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
- Career advancement opportunities
- Work-life flexibility
- Recognition programs