Bilingual Public Benefit Specialist
The Opportunity
CAREER OPPORTUNITY OFFERING:
- Bonus Incentives
- Paid Certifications
- Tuition Reimbursement
- Comprehensive Benefits
- Career Advancement
This position pays between $18.65 - $20.50 per hour, based on experience.
This position is located On-Site at Tower - Reading Hospital in West Reading, PA.
Essential Job Functions
- 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; sharing information with colleagues and supervisors
- Developing and maintaining proactive working relationships with county/state/federal Medicaid caseworker partners, working collaboratively with other revenue cycle departments and associates
Employment Qualifications
- Minimum years and type of experience: 1-2 years of experience in healthcare industry, interacting with patients regarding hospital financial issues
- Bilingual speaking proficiency in Spanish/English
Other knowledge, skills, and abilities preferred:
- 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
- Experience with managed care/insurance and Call Center experience
Employment Qualifications (continued)
- Minimum Education: High School Diploma or GED
- Combination of post-secondary education and experience will be considered in lieu of degree
Skills
- RCCR Required within 9 months of hire (Company Paid)
About the Role
O.N.E Purpose: Customer Obsession, Embracing New Ideas, Striving for Excellence
Benefits
- Associate Benefits – Comprehensive benefits package
- Growth – Professional certification and tuition reimbursement
- Recognition – Quarterly and annual incentive programs
Company Information
- Five-time winner of “Best in KLAS” 2020-2022, 2024-2025
- Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024
- HFMA MAP Awards for High Performance in Revenue Cycle 2019-2024
- Everest Group's RCM Operations PEAK Matrix Assessment 2024
- Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023
- Energage Top Workplaces USA 2022-2024
- Fortune Media Best Workplaces in Healthcare 2024
- Monster Top Workplace for Remote Work 2024
- Great Place to Work certified 2023-2024
Innovation & Work-Life Flexibility
We believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:
- Associate Benefits – Healthcare, time off, retirement, and well-being programs
- Culture – Collaboration, growth, and innovation
- Growth – Professional development and certifications
- Recognition – Incentive programs
Equal Employment Opportunity
Ensemble is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws.