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.
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 relationships with county/state/federal Medicaid caseworker partners, working collaboratively with other revenue cycle departments and associates.
Other job duties as assigned.

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.
Minimum Education: High School Diploma or GED.

Public Benefit Specialist

Key skills