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Public Benefit Specialist
Ensemble Health Partners. Interview uninsured/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, insurance verification, and medical terminology. Proven ability to communicate effectively with patients and collaborate with healthcare partners to ensure timely application processing and billing.
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
Medicaid Benefits ApplicationBilling and Payments ProcessingCPT Codes KnowledgeMedical TerminologyApplication Submission Facilitation
Soft Skills
CommunicationCollaborationInquisitivenessOpenness to Innovation
Tools & Technologies
Patient Accounting Systems
Certifications & Qualifications
CRCR Certification
Industry Keywords
Healthcare IndustryFinancial Assistance ProgramsManaged CareCall Center ExperienceState and Federal Program Requirements
About the role
Key responsibilities & impact- Interview uninsured/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 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 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 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
- Career Advancement
- Professional development opportunities
- Quarterly and annual incentive programs