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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, insurance verification, and medical terminology. Capable of building relationships with healthcare partners and effectively communicating with patients to facilitate application processes.
Highest-signal resume keywords
Patient Eligibility DeterminationRevenue Cycle KnowledgeInsurance VerificationCRCR 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
Patient Insurance ProcessesCPT/Procedure CodesBilling and PaymentsApplication SubmissionFinancial Assistance Programs
Soft Skills
CommunicationCollaborationInquisitivenessOpenness to Innovation
Tools & Technologies
Patient Accounting Systems
Certifications & Qualifications
CRCR Certification
Industry Keywords
MedicaidManaged CareHealthcare IndustryFinancial IssuesAuthorization Processes
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
- Review referred patients for program eligibility opportunities and coordinate application processes
- Communicate with patients to obtain required supporting documents
- Update applicable insurance information and ensure timely billing or adjustment posting
- Document relevant actions and communications 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, 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
- 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/procedure codes
- Patient Access experience with managed care/insurance and call center experience highly preferred
- Inquisitiveness and 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 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 healthcare, time off, retirement, and well-being benefits
- Career advancement opportunities
- Professional development
- Quarterly and annual incentive programs
- Work-life flexibility
- Reasonable accommodations for qualified individuals with disabilities