Interview uninsured/under-insured patients to determine eligibility for 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 and coordinate the application process
Effectively communicate with the patient to obtain necessary documents
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

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. Combination of post-secondary education and experience will be considered in lieu of degree
Certifications: CRCR within 9 months of hire

Public Benefit Specialist

Key skills