Public Benefit Specialist at Ensemble Health Partners in Amarillo, TX

Summary: Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems. They are seeking a Public Benefit Specialist to interview uninsured and under-insured patients, determine eligibility for state Medicaid benefits, and assist with application processes to ensure timely billing or adjustments. Responsibilities: - Interview uninsured/under-insured patients to determine eligibility for a state Medicaid benefit or location Financial Assistance program - Assist with application processes to facilitate accurate and appropriate submissions - Follow-up on submitted applications to insure timely billing or adjustment processing - Review all referred uninsured/under-insured patients for program eligibility opportunities, initializing and coordinating the application process to facilitate accurate and appropriate submissions - Effectively communicate with the patient to obtain documents that must accompany the application - Follow submitted applications to determination point, updating applicable insurance information and ensuring timely billing or adjustment posting - Document all relevant actions and communication steps in assigned patient accounting systems - Maintain working knowledge of all state and federal program requirements; share information with colleagues and supervisors - Develop and maintain proactive working relationship with county/state/federal Medicaid caseworker partners, working collaboratively with other revenue cycle departments and associates - Other job duties as assigned Required Qualifications: - 1-2 years of experience in healthcare industry, interacting with patients regarding hospital financial issues - Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences - 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 Preferred Qualifications: - 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 Required Skills: Healthcare industry experience, Revenue Cycle knowledge, Patient insurance process, Health Insurance requirements, Medical terminology, CPT codes, Procedure codes, Patient Access experience, Managed care insurance, Call Center experience, CRCR certification, Inquisitiveness, Openness to innovation Benefits: Bonus Incentives, Paid Certifications, Tuition Reimbursement, Comprehensive Benefits, Career Advancement