Public Benefit Specialist at Ensemble Health Partners in Pottstown, PA

Summary: Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems. The Public Benefit Specialist role involves interviewing patients to assess eligibility for Medicaid benefits and assisting with application processes, ensuring timely and accurate submissions. Responsibilities: - Interviews uninsured/under-insured patients to determine eligibility for a state Medicaid benefit or location Financial Assistance program - Assists with application processes to facilitate accurate and appropriate submissions - Follows-up on submitted applications to insure timely billing or adjustment processing - Reviewing all referred uninsured/under-insured patients for program eligibility opportunities, initializing and coordinating the application process to facilitate accurate and appropriate submissions - Effectively communicating with the patient to obtain documents that must accompany the application - Following submitted applications to determination point, updating applicable insurance information and ensuring timely billing or adjustment posting - Documenting all relevant actions and communication steps in assigned patient accounting systems - Maintaining working knowledge of all state and federal program requirements; shares information with colleagues and supervisors - Developing and maintaining 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 - 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. (Company Paid) 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 - 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 Required Skills: Healthcare industry experience, Revenue Cycle Management, Patient insurance process, Authorizations, benefits verification, Health insurance requirements, Medical terminology, CPT codes, Procedure codes, Patient Access, Managed care insurance, Call Center experience, CRCR certification, Openness to innovation Benefits: Bonus Incentives, Paid Certifications, Tuition Reimbursement, Comprehensive Benefits, Career Advancement