Interview uninsured/under-insured patients to determine eligibility for a 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.
Communicate effectively with the patient to obtain documents that must accompany the application.
Maintain working knowledge of all state and federal program requirements; share information with colleagues and supervisors.
Develop and maintain proactive working relationships 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.
CRCR within 9 months of hire.

Public Benefit Specialist

About this role