Senior Public Benefit Specialist

About the role

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.

Responsibilities

• 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

Qualifications

• Minimum years and type of experience: 1-2 years of experience in 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
• Minimum Education: High School Diploma or GED. Combination of post-secondary education and experience will be considered in lieu of degree
• CRCR within 9 months of hire (Company Paid)

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

Pay

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

Benefits

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement
• Healthcare, time off, retirement, and well-being programs
• Quarterly and annual incentive programs

Schedule

This position is located On-Site at Children's Minnesota - Minneapolis Hospital in Minneapolis, MN.