Medicaid Eligibility & Benefits Specialist

Ensemble Health Partners; Effingham (IL); On-site; USD 39,000 - 43,000; Full time

Benefits offered by this job

Bonus incentives

Paid certifications

Tuition reimbursement

Comprehensive benefits

Career advancement

Job summary

Ensemble Health Partners is hiring on-site in Effingham, IL for a role in patient financial services. The position involves interviewing uninsured/under-insured patients to assess Medicaid eligibility and facilitate timely submissions for benefits and financial assistance.

You will review applications, gather required documents, and coordinate with Medicaid partners and internal teams to ensure accurate submissions and proper billing adjustments.

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.
• CRCR certification within 9 months of hire.
• Combination of post-secondary education and experience will be considered in lieu of degree.

Responsibilities

• Review uninsured/under-insured patients for program eligibility and coordinate the application process.
• Communicate with patients to obtain documents needed for the application.
• Follow applications through determination point and ensure timely billing or adjustments.
• Document relevant actions in patient accounting systems.
• Maintain knowledge of state and federal program requirements and share with colleagues.
• Develop relationships with Medicaid caseworkers and other revenue cycle departments.

Skills

Patient communication

Call center experience

Inquisitive/AI openness

Education

High School Diploma or GED

Job description

Ensemble Health Partners is hiring on-site in Effingham, IL for a role in patient financial services. The position involves interviewing uninsured/under-insured patients to assess Medicaid eligibility and facilitate timely submissions for benefits and financial assistance.

You will review applications, gather required documents, and coordinate with Medicaid partners and internal teams to ensure accurate submissions and proper billing adjustments.