Public Benefit Specialist
O.N.E Purpose
CAREER OPPORTUNITY OFFERING:
- Bonus Incentives
- Paid Certifications
- Tuition Reimbursement
- Comprehensive Benefits
- Career Advancement
Pay and Schedule
The pay for this position is $18.65 - $20.50 per hour, depending on level of experience. This position is located On-Site at Ardent - Portneuf Medical Center in Pocatello, ID.
Responsibilities
- Interviews uninsured/under-insured patients to determine eligibility for a state Medicaid benefit or location Financial Assistance program.
- Aids in the application process to ensure accurate and appropriate submissions.
- Follows up on submitted applications to ensure timely billing or adjustment processing.
- Reviews all referred uninsured/under-insured patients for program eligibility opportunities, initializes and coordinates the application process.
- Updates applicable insurance information and ensures timely billing or adjustment posting.
- Documents all relevant actions and communication steps in assigned patient accounting systems.
- Maintains working knowledge of all state and federal program requirements; shares information with colleagues and supervisors.
- Develops and maintains proactive working relationships with county/state/federal Medicaid caseworker partners, working collaboratively with other revenue cycle departments and associates.
- Performs other job duties as assigned.
Qualifications
- Minimum years and type of experience: 1-2 years of experience in healthcare industry, interacting with patients regarding hospital financial issues.
- 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.
Education
Minimum Education: High School Diploma or GED. Combination of post-secondary education and experience will be considered in lieu of degree.
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.
Benefits
Join An Award-winning Company
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
Innovation
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.
Inclusion & Diversity
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. Ensemble also prohibits harassment of applicants or employees based on any of these protected categories. Ensemble provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law.