Medicaid Eligibility & Patient Access Specialist

Ensemble Health Partners; Sandusky (OH); On-site; USD 26,000 - 29,000; Full time

Benefits offered by this job

Bonus incentives

Tuition reimbursement

Comprehensive benefits

Career advancement

Paid certifications

Job summary

Ensemble Health Partners is hiring a Public Benefit Specialist for on-site work at Firelands - Regional Medical Center in Sandusky, OH. You will review uninsured/under-insured patients for Medicaid eligibility and assist with application submissions.

You will coordinate with caseworkers, communicate with patients to collect documents, and ensure timely billing and adjustments within our revenue cycle operations.

Qualifications

• 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; CPT or procedure codes.
• Patient Access experience with managed care/insurance and Call Center experience preferred.
• Inquisitive and open to innovation including AI to improve processes.

Responsibilities

• Interview uninsured/under-insured patients to determine eligibility for Medicaid and related programs.
• Assist with application processes to facilitate accurate submissions.
• Follow up on submitted applications to ensure timely billing or adjustments.
• Document actions and communications in patient accounting systems.
• Coordinate with Medicaid caseworkers and other revenue cycle teams.

Skills

Patient communication

Healthcare revenue cycle knowledge

Innovation mindset

Education

High School Diploma or GED

Job description

Ensemble Health Partners is hiring a Public Benefit Specialist for on-site work at Firelands - Regional Medical Center in Sandusky, OH. You will review uninsured/under-insured patients for Medicaid eligibility and assist with application submissions.

You will coordinate with caseworkers, communicate with patients to collect documents, and ensure timely billing and adjustments within our revenue cycle operations.