Senior Public Benefit Specialist

About the role

Interviews uninsured/under-insured patients to determine eligibility for a state Medicaid benefit or local Financial Assistance program. Assists with application processes to facilitate accurate and appropriate submissions. Follows up on submitted applications 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 the patient to obtain documents that must accompany the application.
• 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, working collaboratively with other revenue cycle departments and associates.
• Other job duties as assigned.

Requirements

• 1-2 years of experience in the healthcare industry, interacting with patients regarding hospital financial issues.
• 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.
• 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 (Company Paid).

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, CPT, or procedure codes.
• Patient Access experience with managed care/insurance and Call Center experience highly preferred.

Benefits

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement
• Associate Benefits – Comprehensive benefits package supporting physical, emotional, and financial health, including healthcare, time off, retirement, and well-being programs.
• Culture rooted in collaboration, growth, and innovation.
• Professional development investment, including relevant certifications and tuition reimbursement.
• Quarterly and annual incentive programs for outstanding performance.

Pay

The pay range is $20.45 - $22.50 per hour, depending on level of experience.

Schedule

This position is located on-site at Ardent - Hillcrest Medical Center in Tulsa, OK.

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.