Public Benefit Specialist

: Thank you for considering a career at Ensemble Health Partners! 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: Responsible for interviewing uninsured/underinsured patients to determine eligibility for a state Medicaid benefit or a client's 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. Reviews, verifies, bills potential insurance coverages missed at registration. Job Responsibilities:

• Reviews and interview all referred uninsured/underinsured patients for potential program eligibility opportunities for state, federal, and grant funding, cobra, ACA Marketplace plans and all other programs.
• Acts as authorized representative to initialize and coordinates the application process to facilitate accurate and appropriate submissions for all program eligibility.
• Effectively communicates with the patient to obtain documents that must accompany the application. Follows submitted applications to determination point, updates applicable insurance information and ensures timely billing or adjustment posting.
• Documents all relevant actions and communication steps in assigned patient accounting systems while working across multiple client systems and assigned workflow tools.
• Maintains working knowledge of all state & federal program requirements including disability and Medicaid eligibility, the health systems financial assistance program and 501R compliance and shares information with colleagues and supervisors. Represents the patient in all appeals processes.
• Works collaboratively with other revenue cycle departments and associates with a special emphasis on Case Management, Patient Access, Financial Counseling and Physician office staff. Develops & maintains proactive working relationships with county/state/federal Medicaid caseworker partners.
• Must become certified application counselor and assist in the Affordable Care Act Marketplace enrollment process, to guide patients on the application process and selection of plans.
• Understanding of client payors, eligibility portals, basic knowledge of insurance billing, coverages, remittance review, and coordination of benefits.
• This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Associates may be required to perform other job related duties as required by their supervisor, subject to reasonable accommodation.

Required Education:

• High School Diploma or GED

Required Experience:

• Minimum Years and Type of Experience: 2+ years' experience interacting with patients regarding hospital financial issues, Medicaid regulations and/or hospital billing.
• Superior customer service skills and ability to communicate with all levels effectively.
• Accustomed to substantial computer use and possesses a strong ability to multi-task required.

Required Qualifications:

• Certified Revenue Cycle Representative (CRCR) within 9 months of hire

Join an award-winning company Three-time winner of “Best in KLAS” Top Workplaces Healthcare Industry Award Top Workplaces USA Award Top Workplaces Culture Excellence Awards

• Innovation
• Work-Life Flexibility
• Leadership
• Purpose + Values

Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:

• Associate Benefits - We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
• Our Culture - Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
• Growth - We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
• Recognition - We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.

Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories. Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact View email address on us.edajobs.com . This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role's range. EEOC - Know Your Rights FMLA Rights - English La FMLA Español