Medicaid Eligibility & Patient Access Specialist

Ensemble Health Partners; Pittsburgh (Allegheny County); 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 Health Partners is hiring a Public Benefit Specialist for an onsite role in Pittsburgh, PA. You will interview uninsured/under-insured patients to assess Medicaid eligibility and assist with applications, coordinating submissions and follow-ups.

The position requires 1-2 years in healthcare with knowledge of revenue cycle processes, insurance verifications, and medical terminology. Comprehensive benefits and tuition reimbursement are offered.

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 health insurance requirements and benefits verification.
• Knowledge of CPT codes and medical terminology.

Responsibilities

• Review referred uninsured/under-insured patients for program eligibility opportunities and coordinate the application process.
• Obtain documents from patients to accompany the application.
• Update insurance information and ensure timely billing or adjustments after submission.
• Document actions and communications in patient accounting systems.
• Maintain knowledge of state and federal program requirements and share with colleagues.

Skills

Healthcare experience

Patient interaction

Medical terminology

Insurance knowledge

Education

High School Diploma or GED

CRCR within 9 months of hire

Job description

Ensemble Health Partners is hiring a Public Benefit Specialist for an onsite role in Pittsburgh, PA. You will interview uninsured/under-insured patients to assess Medicaid eligibility and assist with applications, coordinating submissions and follow-ups.

The position requires 1-2 years in healthcare with knowledge of revenue cycle processes, insurance verifications, and medical terminology. Comprehensive benefits and tuition reimbursement are offered.