Medicaid Access & Financial Assistance Specialist

Ensemble Health Partners; Columbia Township (MO); On-site; USD 26,000 - 28,000; Full time

Benefits offered by this job

Healthcare

Time off

Retirement

Well-being programs

Tuition reimbursement

Incentive programs

Job summary

Ensemble Health Partners in Columbia, Missouri, is seeking a Patient Access/Financial Counseling professional to support Medicaid eligibility and financial assistance programs onsite at Boone Hospital Center. The role focuses on assessing patient eligibility, guiding applications, and ensuring accurate submissions.

With 1–2 years in healthcare, candidates will navigate insurance processes, verify benefits, and collaborate with county/state Medicaid partners to streamline billing and denials.

Qualifications

• 1-2 years of experience in healthcare interacting with patients regarding hospital financial issues.
• Understanding of Revenue Cycle including admission, billing, payments and denials.
• Knowledge of patient insurance processes for obtaining authorizations and benefits verification.
• 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.

Responsibilities

• 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 insure timely billing or adjustment processing.
• Reviewing all referred uninsured/under-insured patients for program eligibility opportunities, initializing and coordinating the application process to facilitate accurate and appropriate submissions.
• 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, working collaboratively with other revenue cycle departments and associates.
• Other job duties as assigned.

Skills

Revenue Cycle

Patient Communication

Eligibility Screening

AI/Innovation openness

Education

High School Diploma or GED

Job description

Ensemble Health Partners in Columbia, Missouri, is seeking a Patient Access/Financial Counseling professional to support Medicaid eligibility and financial assistance programs onsite at Boone Hospital Center. The role focuses on assessing patient eligibility, guiding applications, and ensuring accurate submissions.

With 1–2 years in healthcare, candidates will navigate insurance processes, verify benefits, and collaborate with county/state Medicaid partners to streamline billing and denials.