Coordinates the day to day task functionality of the Eligibility Services department
Maintains thorough working knowledge of department policies and procedures
Maintains thorough working knowledge of relevant federal, state, and county benefit program requirements as well as Charity / Hospital Financial Assistance programs
Collaborates with SMARTS , and shares information with colleagues and Supervisors
Assists with quality assurance audits and team productivity
Assists with various reporting, projects, and DIBS
Acts as floater to erase deficiencies when work volume spikes or staffing gaps are present
Subject matter expert for system build partnership, workflow enhancement management, and partnering with external departments for build resolution

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
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

Senior Public Benefit Specialist

Key skills