Bilingual Public Benefit Specialist

O.N.E Purpose

Customer Obsession: Consistently provide exceptional experiences for our 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 our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.

The Opportunity

CAREER OPPORTUNITY OFFERING: Bonus Incentives
Paid Certifications
Tuition Reimbursement
Comprehensive Benefits
Career Advancement

This position pays between $18.65 - $20.50/hr. based on experience.

This position is located On-Site at Nicklaus - Nicklaus Children's Hospital in Miami, FL.

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 Proficiency in Spanish and 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; 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.

Employment Qualifications (continued)

• Minimum Education: High School Diploma or GED.
• Combination of post-secondary education and experience will be considered in lieu of degree.
• Certifications: CRCR within 9 months of hire.

Benefits

• Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
• Our Culture – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
• Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
• Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.

About the Role

This position pays between $18.65 - $20.50/hr. based on experience.

This position is located On-Site at Nicklaus - Nicklaus Children's Hospital in Miami, FL.

Interviews uninsured/under-insured patients to determine eligibility for a state Medicaid benefit or location Financial Assistance program.

Affords assistance with application processes to facilitate accurate and appropriate submissions.

Follows-up on submitted applications to insure timely billing or adjustment processing.

Skills

• 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.

Qualifications

• Minimum years and type of experience: 1-2 years of experience in healthcare industry, interacting with patients regarding hospital financial issues.
• Bilingual Proficiency in Spanish and 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; 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.

Pay

This position pays between $18.65 - $20.50/hr. based on experience.

Schedule

This position is On-Site at Nicklaus - Nicklaus Children's Hospital in Miami, FL.