Medicaid Eligibility Navigator

Ensemble RCM; O'Fallon (IL); 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 RCM in O'Fallon, IL is seeking an on-site Patient Eligibility Specialist to assist uninsured/under-insured patients with Medicaid and related programs. You will interview patients, collect documents, and guide submissions through the eligibility process.

The role requires 1-2 years in healthcare interactions and knowledge of revenue cycle concepts, with CRCR certification pursued within 9 months of hire. Competitive benefits and career growth are offered.

Qualifications

• 1-2 years in healthcare, interacting with patients about hospital financial issues.
• Knowledge of revenue cycle basics including eligibility and billing workflows.
• Familiarity with insurance processes and healthcare terminology preferred.

Responsibilities

• Review uninsured/under-insured patients for program eligibility and initiate applications.
• Gather documents from patients to accompany applications.
• Track submitted applications through determination, ensuring timely billing or adjustments.
• Document actions in patient accounting systems with accuracy.
• Maintain knowledge of state/federal program requirements and share with team.

Skills

Patient communication

Healthcare knowledge

Detail oriented

Education

High School Diploma or GED

Job description

Ensemble RCM in O'Fallon, IL is seeking an on-site Patient Eligibility Specialist to assist uninsured/under-insured patients with Medicaid and related programs. You will interview patients, collect documents, and guide submissions through the eligibility process.

The role requires 1-2 years in healthcare interactions and knowledge of revenue cycle concepts, with CRCR certification pursued within 9 months of hire. Competitive benefits and career growth are offered.