Medicaid Eligibility & Patient Benefits Specialist

Ensemble Health Partners; Florida; On-site; USD 28,000 - 31,000; Full time

Benefits offered by this job

Bonus incentives

Paid certifications

Tuition reimbursement

Comprehensive benefits

Career advancement

Job summary

Ensemble Health Partners is seeking a patient eligibility specialist to review uninsured and under-insured cases, determine Medicaid eligibility, and guide applicants through the submission process. You will coordinate documentation, update insurance data, and ensure timely billing or adjustments.

The role emphasizes strong patient communication, collaboration with Medicaid partners, and adherence to state/federal program requirements, in a on-site Florida setting with opportunities for

Qualifications

• 1-2 years of experience in healthcare industry, interacting with patients regarding hospital financial issues.
• Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.

Responsibilities

• Reviewing all referred uninsured/under-insured patients for program eligibility opportunities, initializing and coordinating the application process to facilitate accurate and appropriate submissions
• Effectively communicating with the patient to obtain documents that must accompany the application
• Following submitted applications to determination point, updating applicable insurance information and ensuring timely billing or adjustment posting
• Documenting all relevant actions and communication steps in assigned patient accounting systems
• Maintaining working knowledge of all state and federal program requirements; shares information with colleagues and supervisors
• Developing and maintaining proactive working relationship with county/state/federal Medicaid caseworker partners, working collaboratively with other revenue cycle departments and associates.
• Other job duties as assigned.

Skills

Interpersonal communication

Customer service

Empathy

Medical terminology basics

Education

High School Diploma or GED

Job description

Ensemble Health Partners is seeking a patient eligibility specialist to review uninsured and under-insured cases, determine Medicaid eligibility, and guide applicants through the submission process. You will coordinate documentation, update insurance data, and ensure timely billing or adjustments.

The role emphasizes strong patient communication, collaboration with Medicaid partners, and adherence to state/federal program requirements, in a on-site Florida setting with opportunities for