Public Benefit Specialist

O.N.E Purpose

Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.

The Opportunity

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

This position pays between $18.65 - $20.50/hr. based on experience

This position is located On-Site at Summit - Summit Hospital in Show Low, AZ

Interviews uninsured/under-insured patients to determine eligibility for a state Medicaid benefit or location Financial Assistance program.
Assists with application processes to facilitate accurate and appropriate submissions.
Follows-up on submitted applications to insure timely billing or adjustment processing.

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; shares information with colleagues and supervisors
• Developing and maintaining proactive working relationship with county/state/federal Medicaid caseworker partners, working collaboratively with other revenue cycle departments and associates

Other job duties as assigned.

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.

Minimum Education

High School Diploma or GED. Combination of post-secondary education and experience will be considered in lieu of degree.

Certifications

RCCR within 9 months of hire.

Employment 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
Work-Life Flexibility
Leadership
Purpose + Values

Equal Employment Opportunity

We are 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.

Compensation

Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role’s range.