Senior Public Benefit Specialist
About the Role
Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. We offer end-to-end revenue cycle solutions and a comprehensive suite of point solutions to clients across the country. This position is located on-site at HSHS - St. Vincent's Hospital in Green Bay, WI, and focuses on assisting uninsured/under-insured patients with eligibility determinations for state Medicaid benefits or financial assistance programs.
Responsibilities
- Review all referred uninsured/under-insured patients for program eligibility opportunities.
- Initialize and coordinate the application process to ensure accurate and appropriate submissions.
- Effectively communicate with patients to obtain necessary documents for applications.
- Follow up on submitted applications to the determination point, update 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 state and federal program requirements and share information with colleagues and supervisors.
- Develop and maintain proactive working relationships with county/state/federal Medicaid caseworkers and collaborate with other revenue cycle departments.
- Perform other job duties as assigned.
Qualifications
- 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 a degree.
- Must be inquisitive and open to innovation, including AI, to explore better processes and improve patient and client experiences.
Preferred Skills
- 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, medical terminology, CPT, or procedure codes.
- Patient Access experience with managed care/insurance and Call Center experience highly preferred.
Certifications
- CRCR certification required within 9 months of hire (Company Paid).
Benefits
- Bonus Incentives
- Paid Certifications
- Tuition Reimbursement
- Comprehensive Benefits
- Career Advancement
Pay
The pay range is $20.45 - $22.50 per hour, depending on the level of experience.
Why Join Us
- 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)
Ensemble is an equal employment opportunity employer. We provide reasonable accommodations to qualified individuals with disabilities and do not discriminate 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 laws.