IT Support Specialist assisting customers with e - forms requests and managing ticket documentation. Oversight and classification of tickets within a service level agreement framework.
About the role
- Public Benefit Specialist at Ensemble Health Partners identifying Medicaid eligibility for uninsured patients. Facilitating application processes and maintaining relationships with Medicaid caseworker partners in a healthcare setting.
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 insure 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 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.
Requirements
- 1-2 years of experience in healthcare industry, interacting with patients regarding hospital financial issues.
- 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.
- Minimum Education: High School Diploma or GED. Combination of post-secondary education and experience will be considered in lieu of degree.
- Certifications: CRCR within 9 months of hire.
Benefits
- Bonus Incentives
- Paid Certifications
- Tuition Reimbursement
- Comprehensive Benefits
- Career Advancement
Job title
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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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Public Benefit Specialist assisting uninsured patients in eligibility determination for Medicaid and financial assistance. Collaborating with Medicaid partners and ensuring timely application processes in the healthcare revenue cycle.