Medicaid Benefits & Eligibility Specialist

Ensemble RCM; Greenville (SC); 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 an on-site role in Greenville, SC to assist uninsured/under-insured patients with Medicaid eligibility and financial assistance programs. You will conduct eligibility reviews, gather required documents, and guide submissions to ensure timely processing and accurate billing.

The role emphasizes collaboration with caseworkers and revenue cycle departments, requiring 1–2 years in healthcare and strong patient communication.

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 process for obtaining authorizations and benefits verification.

Responsibilities

• Review referred uninsured/under-insured patients for program eligibility opportunities and coordinate the application process.
• Communicate with patients to obtain documents that accompany the application.
• Follow submitted applications to determination point and ensure timely billing or adjustments.
• Document all relevant actions and communications in patient accounting systems.
• Maintain knowledge of state and federal program requirements and share updates with colleagues.
• Develop relationships with Medicaid caseworker partners and collaborate with revenue cycle teams.

Skills

Patient communication

Healthcare experience

Revenue cycle knowledge

Documentation skills

Education

High School Diploma or GED

Job description

Ensemble is seeking an on-site role in Greenville, SC to assist uninsured/under-insured patients with Medicaid eligibility and financial assistance programs. You will conduct eligibility reviews, gather required documents, and guide submissions to ensure timely processing and accurate billing.

The role emphasizes collaboration with caseworkers and revenue cycle departments, requiring 1–2 years in healthcare and strong patient communication.