Medicaid Eligibility & Patient Benefits Specialist

Ensemble Health Partners; Oklahoma City (OK); Presencial; USD 26.000 - 28.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Bonus incentives

Paid certifications

Tuition reimbursement

Comprehensive benefits

Career advancement

Descripción de la vacante

Ensemble Health Partners is seeking a Public Benefit Specialist to support on-site operations at OU Health in Oklahoma City. You will review uninsured and under-insured cases, coordinate applications, and verify insurance requirements to ensure timely billing and submissions.

The role emphasizes patient communication, documentation, and collaboration with Medicaid partners to optimize revenue cycle outcomes.

Formación

• 1-2 years of experience in healthcare industry, interacting with patients regarding hospital financial issues.
• Comprehensive knowledge of patient insurance process for obtaining authorizations and benefits verification.
• Knowledge of Health Insurance requirements; CPT or procedure codes.
• Patient Access experience with managed care/insurance and Call Center experience highly preferred.

Responsabilidades

• Reviewing all referred uninsured/under-insured patients for program eligibility opportunities, initiating 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.

Conocimientos

Patient Access

Revenue Cycle

Insurance verification

Call Center

Healthcare experience

Educación

High School Diploma or GED

Descripción del empleo

Ensemble Health Partners is seeking a Public Benefit Specialist to support on-site operations at OU Health in Oklahoma City. You will review uninsured and under-insured cases, coordinate applications, and verify insurance requirements to ensure timely billing and submissions.

The role emphasizes patient communication, documentation, and collaboration with Medicaid partners to optimize revenue cycle outcomes.