Medicaid Eligibility & Benefits Specialist

Ensemble Health Partners; Albuquerque (NM); Híbrido; USD 54.443.000 - 60.174.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Bonus incentives

Certifications paid

Tuition reimbursement

Comprehensive benefits

Career advancement

Descripción de la vacante

Ensemble Health Partners seeks a Public Benefit Specialist to work on-site at Lovelace Lovelace Women’s Hospital in Albuquerque, NM. You will interview uninsured patients to assess Medicaid eligibility and assist with application submissions to ensure accuracy and timely processing.

The role emphasizes collaboration with hospital staff, understanding state programs, and maintaining patient information in accounting systems.

Formación

• 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.
• Knowledge of Health Insurance requirements and medical terminology or CPT codes.

Responsabilidades

• Interview uninsured/under-insured patients to determine eligibility for Medicaid/state programs.
• Assist with applications to facilitate accurate submissions.
• Follow-up on submitted applications to ensure timely processing and posting.

Conocimientos

Healthcare customer interactions

Revenue cycle knowledge

CPT terminology knowledge

Call center experience

Educación

High School Diploma or GED

Post-secondary education considered with experience

Herramientas

CRCR Certification

Descripción del empleo

Ensemble Health Partners seeks a Public Benefit Specialist to work on-site at Lovelace Lovelace Women’s Hospital in Albuquerque, NM. You will interview uninsured patients to assess Medicaid eligibility and assist with application submissions to ensure accuracy and timely processing.

The role emphasizes collaboration with hospital staff, understanding state programs, and maintaining patient information in accounting systems.