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 OU Health in Oklahoma City, OK. You will interview uninsured/under-insured patients to determine eligibility for state Medicaid benefits or local Financial Assistance programs, assist with application processes, and follow up on submissions to ensure timely billing or adjustment processing.
Responsibilities
- Review all referred uninsured/under-insured patients for program eligibility opportunities, initialize and coordinate the application process to facilitate accurate and appropriate submissions.
- Effectively communicate with patients to obtain documents required for applications.
- 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, collaborating 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.
- 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.
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 improve patient and client experiences.
Benefits
- Bonus incentives
- Paid certifications
- Tuition reimbursement
- Comprehensive benefits package supporting physical, emotional, and financial health
- Time off, retirement, and well-being programs
- Professional development opportunities, including relevant certifications
- Quarterly and annual incentive programs
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’s culture is rooted in collaboration, growth, and innovation, with a focus on customer obsession, embracing new ideas, and striving for excellence.
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 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 (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)