Medicaid Benefits Eligibility Specialist

Ensemble Health Partners; Fredericksburg (VA); On-site; USD 27,000 - 30,000; Full time

Benefits offered by this job

Bonus Incentives

Paid Certifications

Tuition Reimbursement

Comprehensive Benefits

Career Advancement

Job summary

Ensemble Health Partners is seeking an on-site candidate at Mary Washington Hospital in Fredericksburg, VA to support uninsured/under-insured patient eligibility for Medicaid and assist with application submissions.

The role emphasizes accurate, timely processing and strong collaboration with Medicaid partners, while contributing to a high-quality patient financial experience. A strong healthcare revenue cycle background is preferred.

Qualifications

• 1-2 years of experience in healthcare industry, interacting with patients regarding hospital financial issues.

Responsibilities

• Review referred uninsured/under-insured patients for program eligibility opportunities, initiating and coordinating the application process to facilitate accurate 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.

Education

High School Diploma or GED

Job description

Ensemble Health Partners is seeking an on-site candidate at Mary Washington Hospital in Fredericksburg, VA to support uninsured/under-insured patient eligibility for Medicaid and assist with application submissions.

The role emphasizes accurate, timely processing and strong collaboration with Medicaid partners, while contributing to a high-quality patient financial experience. A strong healthcare revenue cycle background is preferred.