Public Benefit Specialist

Ensemble Health Partners · St Paul, MN · 2 wk ago

Human Resources$19.55–$21.5/hrFull-time

Career Opportunity

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

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

PAY & BENEFITS: This position pays between $19.55 - $21.50/hr. based on experience. This position is located On-Site at Children's Minnesota - St Paul Hospital in St Paul, MN.

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

Education

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

Equal Employment Opportunity

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.