Interviews uninsured/under-insured 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
Reviewing all referred uninsured/under-insured patients for program eligibility opportunities
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 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

1-2 years of experience in healthcare industry
Understanding of Revenue Cycle
Comprehensive knowledge of patient insurance process
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
CRCR within 9 months of hire

Public Benefit Specialist

Key skills