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 Valley - Winchester Medical Center in Winchester, VA

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.
• 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.
• CRCR Required within 9 months of hire (Company Paid)

About the Role

O.N.E Purpose: Customer Obsession
Embracing New Ideas
Striving for Excellence

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 highly preferred.

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.

Pay

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

Schedule

This position is On-Site at Valley - Winchester Medical Center in Winchester, VA