Medicaid Eligibility & Patient Access Specialist

Ensemble Health Partners; Los Lunas (NM); On-site; USD 26,000 - 28,000; Full time

Benefits offered by this job

Bonus Incentives

Tuition Reimbursement

Paid Certifications

Comprehensive Benefits

Job summary

Ensemble Health Partners is hiring for an on-site Patient Access role at Ardent - Valencia County Hospital in Los Lunas, NM. The candidate will interview uninsured or under-insured patients to determine Medicaid eligibility and assist with the application process to ensure accurate submissions.

Responsibilities include following submitted applications, coordinating with caseworkers, and maintaining knowledge of state and federal program requirements. On-site support and benefits are provided.

Qualifications

• High school diploma or GED required.
• 1-2 years in healthcare with patient financial interactions.
• Knowledge of patient insurance processes and benefits verification.
• Knowledge of medical terminology or CPT/procedure codes.
• Patient access experience with managed care/insurance and call center experience preferred.

Responsibilities

• Interview uninsured/under-insured patients to determine Medicaid eligibility.
• Assist with application processes to facilitate submissions.
• Follow up on submitted applications to ensure timely billing or adjustment posting.
• Document actions in patient accounting systems.
• Maintain knowledge of state/federal program requirements and share with colleagues.
• Collaborate with Medicaid caseworkers and revenue cycle teams.

Skills

Revenue Cycle

Insurance Verification

Medical Terminology

Call Center

AI curiosity

Education

High School Diploma or GED

CRCR Certification (within 9 months)

Job description

Ensemble Health Partners is hiring for an on-site Patient Access role at Ardent - Valencia County Hospital in Los Lunas, NM. The candidate will interview uninsured or under-insured patients to determine Medicaid eligibility and assist with the application process to ensure accurate submissions.

Responsibilities include following submitted applications, coordinating with caseworkers, and maintaining knowledge of state and federal program requirements. On-site support and benefits are provided.