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Public Benefits Eligibility Specialist

Company: Ensemble Health Partners
Location: Amarillo
Posted on: May 9, 2024

Job Description:

****This position is an onsite role, and candidates must be able to work on-site at BSA Hospital in Amarillo, TX *****Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference.*The Opportunity:*The Public Benefits Specialist interviews uninsured/underinsured 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 ensure timely billing or adjustment processing.*Essential Job Functions*:* 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 a 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.*Employment Qualifications:** 1-2 years of experience in healthcare industry, interacting with patients regarding hospital financial issues._*Other knowledge, skills, and abilities preferred:*_* 2 years of applicable experience is strongly preferred in the following revenue cycle areas: billing, AR follow-up, denials & appeals, compliance, and/or provider relations.* 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 (Company Paid)#INDMPJob Type: Full-timeBenefits:* 401(k)* Dental insurance* Flexible spending account* Health insurance* Health savings account* Life insurance* Paid time off* Vision insuranceSchedule:* Day shift* Monday to FridayWork setting:* In-personApplication Question(s):* This position pays between $16 - $17 an hour. Are you open to this range?Education:* High school or equivalent (Required)Experience:* Customer Service: 1 year (Required)Work Location: In personby Jobble

Keywords: Ensemble Health Partners, Amarillo , Public Benefits Eligibility Specialist, Other , Amarillo, Texas

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