About the role

  • Public Benefit Specialist conducting patient interviews to assess eligibility for Medicaid programs. Working on application processes and ensuring timely billing adjustments in Stamford, CT.

Responsibilities

  • Interview uninsured/under-insured patients to determine eligibility for a state Medicaid benefit or Financial Assistance program.
  • Assist with application processes to facilitate accurate and appropriate submissions.
  • Follow-up on submitted applications to ensure timely billing or adjustment processing.
  • Review all referred uninsured/under-insured patients for program eligibility opportunities, initializing and coordinating the application process.
  • Effectively communicate with the patient to obtain documents that must accompany the application.
  • Document all relevant actions and communication steps in assigned patient accounting systems.
  • Maintain working knowledge of all state and federal program requirements; share information with colleagues and supervisors.
  • Develop and maintain 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.
  • 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

Job title

Public Benefit Specialist

Job type

Experience level

JuniorMid level

Salary

$20 - $23 per hour

Degree requirement

High School Diploma

Location requirements

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