Bilingual Public Benefit Specialist

Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy.

About the role

This position is located on-site at Tower - Reading Hospital in West Reading, PA. You will interview uninsured/under-insured patients to determine eligibility for state Medicaid benefits or local Financial Assistance programs. You will assist with application processes to facilitate accurate and appropriate submissions, and follow up on submitted applications to ensure 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 patients to obtain documents that must accompany the application.
• Follow submitted applications to determination point, update applicable insurance information, and ensure 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 relationships with county/state/federal Medicaid caseworker partners, working collaboratively with other revenue cycle departments and associates.
• Perform other job duties as assigned.

Requirements

• 1-2 years of experience in the healthcare industry, interacting with patients regarding hospital financial issues.
• Bilingual speaking proficiency in Spanish/English.
• High School Diploma or GED. Combination of post-secondary education and experience will be considered in lieu of degree.
• CRCR certification required within 9 months of hire (company paid).

Qualifications

• Understanding of Revenue Cycle including admission, billing, payments, and denials.
• Comprehensive knowledge of patient insurance processes for obtaining authorizations and benefits verification.
• Knowledge of Health Insurance requirements.
• Knowledge of medical terminology, 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.

Benefits

• Bonus incentives
• Paid certifications
• Tuition reimbursement
• Comprehensive benefits package designed to support physical, emotional, and financial health, including healthcare, time off, retirement, and well-being programs.
• Quarterly and annual incentive programs for employees who exceed expectations.
• Professional development opportunities, including earning a professional certification relevant to your field.

Pay

$18.65 - $20.50 per hour, based on experience.

About Ensemble

Ensemble empowers associates to challenge the status quo and believes its people are the most important part of who they are. The company culture is rooted in collaboration, growth, and innovation, with a focus on putting people first.

Ensemble has received multiple awards, including:

• Five-time winner of “Best in KLAS” (2020-2022, 2024-2025)
• Black Book Research's Top Revenue Cycle Management Outsourcing Solution (2021-2024)
• 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle (2019-2024)
• Leader in 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)

Ensemble’s O.N.E Purpose principles:

• Customer Obsession: Consistently provide exceptional experiences for clients, patients, and colleagues by understanding their needs and exceeding their expectations.
• Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
• Striving for Excellence: Execute at a high level by demonstrating the “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.