Medicaid Benefits & Eligibility Coordinator

Ensemble RCM; Youngstown (OH); On-site; USD 26,000 - 28,000; Full time

Benefits offered by this job

Bonus Incentives

Paid Certifications

Tuition Reimbursement

Comprehensive Benefits

Career Advancement

Job summary

Ensemble is seeking a Revenue Cycle – Patient Access professional for on-site work at Mercy - St Elizabeth Youngstown Hospital in Youngstown, OH. The role focuses on interviewing uninsured/under-insured patients to determine Medicaid eligibility and facilitating application submissions.

You will coordinate documentation, communicate with patients to gather required materials, and ensure timely billing by updating insurance data and posting adjustments.

Qualifications

• Minimum years and type of experience: 1-2 years of experience in healthcare industry, interacting with patients regarding hospital financial issues.
• Other knowledge, skills, and abilities preferred: 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. Combination of post-secondary education and experience will be considered in lieu of degree.
• Certifications: CRCR within 9 months of hire.

Responsibilities

• 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

Healthcare experience

Patient communication

AI curiosity

Detail-oriented

Education

High School Diploma or GED

CRCR certification within 9 months

Job description

Ensemble is seeking a Revenue Cycle – Patient Access professional for on-site work at Mercy - St Elizabeth Youngstown Hospital in Youngstown, OH. The role focuses on interviewing uninsured/under-insured patients to determine Medicaid eligibility and facilitating application submissions.

You will coordinate documentation, communicate with patients to gather required materials, and ensure timely billing by updating insurance data and posting adjustments.