Public Benefit Specialist

Job Location This position is located On-Site at Tower - Phoenixville Hospital in King of Prussia, PA. Pay This position pays between $18.65 - $20.50 per hour based on experience. Essential Job Functions 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 ensure timely billing or adjustment processing. Reviews all referred uninsured/under-insured patients for program eligibility opportunities, initializing and coordinating the application process to facilitate accurate and appropriate submissions. Effectively communicates with patients to obtain documents that must accompany the application. Follows submitted applications to determination point, updating applicable insurance information and ensuring timely billing or adjustment posting. Documents all relevant actions and communication steps in assigned patient accounting systems. Maintains working knowledge of all state and federal program requirements; shares information with colleagues and supervisors. Develops and maintains proactive working relationships with county/state/federal Medicaid caseworker partners, working collaboratively with other revenue cycle departments and associates. Other job duties as assigned. Employment Qualifications Minimum 1-2 years of experience in the healthcare industry, interacting with patients regarding hospital financial issues. Understanding of Revenue Cycle including admission, billing, payments and denials. Comprehensive knowledge of patient insurance processes 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. Bilingual proficiency in Spanish and English. Openness to innovation, including AI, to explore better processes and improve patient and client experiences. Minimum Education High School Diploma or GED. Combination of post‑secondary education and experience will be considered in lieu of a degree. Certifications CRCR within 9 months of hire. (Company paid) Equal Employment Opportunity Ensemble 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 also prohibits harassment of applicants or employees based on any of these protected categories. Ensemble 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 click.appcast.io. #J-18808-Ljbffr