Public Benefit Specialist

Role Overview

• Interviews uninsured/under-insured patients to determine eligibility for 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 patients for program eligibility opportunities
• Effectively communicating with patients to obtain documents that must accompany the application.
• Following submitted applications to determination point, updating applicable insurance information.

Requirements

• 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
• CRCR within 9 months of hire

Benefits

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement