Bilingual Public Benefit Specialist interviewing uninsured patients for Medicaid eligibility at Ensemble Health Partners. Coordinating application processes and maintaining insurance documentation for efficient revenue cycle management.
Responsibilities
Interviews uninsured/under-insured patients to determine eligibility for a state Medicaid benefit or 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.
Reviewing all referred uninsured/under-insured patients for program eligibility opportunities, initializing and coordinating the application process.
Effectively communicating with the patient to obtain documents that must accompany the application.
Following submitted applications to determination point, updating 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.
Requirements
1-2 years of experience in healthcare industry, interacting with patients regarding hospital financial issues.
Bilingual speaking proficiency in English/Spanish
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.
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Public Benefit Specialist responsible for interviewing uninsured patients for Medicaid eligibility. Assisting with application processes and ensuring timely billing at Ensemble Health Partners
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