Lead multi - solution implementations for strategic customers as an Enterprise Architect at Adobe. Drive process improvements and serve as a trusted advisor in AI technologies.
About the role
- Public Benefit Specialist responsible for interviewing uninsured patients for Medicaid eligibility. Assisting with application processes and ensuring timely billing at Ensemble Health Partners
Responsibilities
- Interviews uninsured/under-insured patients to determine eligibility for a state Medicaid benefit
- 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
- 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
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
- High School Diploma or GED
Benefits
- Bonus Incentives
- Paid Certifications
- Tuition Reimbursement
- Comprehensive Benefits
- Career Advancement
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