Public Benefit Specialist

Location Value – Winchester Medical Center in Winchester, VA (On‑Site). Compensation Hourly rate: $18.65 – $20.50, based on experience. Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement Essential Job Functions Interview uninsured/under‑insured patients to determine eligibility for state Medicaid benefit or location Financial Assistance program. Assist with application processes to facilitate accurate and appropriate submissions. Follow‑up on submitted applications to insure timely billing or adjustment processing. Review all referred uninsured/under‑insured patients for program eligibility opportunities, initiate and coordinate the application process to facilitate accurate and appropriate submissions. Effectively communicate with the patient to obtain documents that must accompany the application. Follow submitted applications to determination point, update applicable insurance information and ensure timely billing or adjustment posting. 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 relationships with county, state, and federal Medicaid caseworker partners, working collaboratively with other revenue cycle departments and associates. Other job duties as assigned. Employment Qualifications 1‑2 years of experience in the healthcare industry, interacting with patients regarding hospital financial issues. Preferred Knowledge, Skills & Abilities 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. Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences. Education & Certifications Minimum Education: High School Diploma or GED. Combination of post‑secondary education and experience will be considered in lieu of degree. CRCR certification required within 9 months of hire (company paid). Benefits 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. 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. 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. #J-18808-Ljbffr