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Ensemble Health Partners · 3 hours ago

Public Benefit Specialist

Winchester, VA

Full-time

Onsite

Entry Level

$18.65/hr - $20.50/hr

1+ years exp

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 determine eligibility for Medicaid benefits and assisting with application processes to ensure timely billing.

Health CareHospitality

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

Qualification

Revenue Cycle ManagementPatient Insurance ProcessMedical TerminologyCPT CodesPatient Access ExperienceCommunication SkillsCollaborationProblem Solving