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 Bon Secours - Maryview Medical Center in Portsmouth, VA. The role involves interviewing uninsured/under-insured patients to determine eligibility for state Medicaid benefits or local Financial Assistance programs, assisting with application processes, and following up on submitted applications to ensure 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 relationships with county/state/federal Medicaid caseworker partners, working collaboratively with other revenue cycle departments and associates.
• Other job duties as assigned.

Requirements

• 1-2 years of experience in the healthcare industry, interacting with patients regarding hospital financial issues.
• 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.
• 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.

Qualifications

• High School Diploma or GED. Combination of post-secondary education and experience will be considered in lieu of degree.
• CRCR certification within 9 months of hire (company paid).

Benefits

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement

Associate Benefits – 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.

Culture – Ensemble is a place where associates can do their best work and be their best selves. The culture is rooted in collaboration, growth, and innovation.

Growth – Investment in professional development, including earning a professional certification relevant to your field and tuition reimbursement.

Recognition – Quarterly and annual incentive programs for employees who go beyond and keep raising the bar.

Pay

This position pays between $18.65 - $20.50 per hour based on experience.