Medicaid Eligibility & Revenue Cycle Specialist (Toledo)

Ensemble Health Partners; Toledo (OH); Hybrid; USD 26,000 - 28,000; Full time

Benefits offered by this job

Tuition Reimbursement

Paid Certifications

Comprehensive Benefits

Career Advancement

Job summary

Ensemble Health Partners seeks a Public Benefit Specialist to support Mercy - St Vincent Medical Center in Toledo, OH. This on-site role involves assessing Medicaid eligibility for uninsured/under-insured patients and guiding them through the application process.

Ideal candidates have 1–2 years in healthcare finance, knowledge of insurance workflows, and strong communication skills. Benefits include tuition reimbursement, paid certifications, and career advancement opportunities.

Qualifications

• 1-2 years of experience in healthcare interacting with patients on financial issues.
• Understanding of Revenue Cycle including admission, billing, payments and denials.
• Knowledge of patient insurance processes for authorizations and benefits verification.
• Experience with managed care/insurance and call centers is preferred.

Responsibilities

• Interview uninsured/under-insured patients to determine Medicaid eligibility.
• Assist with application processes to facilitate accurate submissions.
• Follow-up on submitted applications to ensure timely billing or adjustments.
• Document all actions and communications in patient accounting systems.

Skills

Revenue Cycle

Patient Access

Insurance Verification

Call Center

Education

High School Diploma or GED

CRCR certification within 9 months

Job description

Ensemble Health Partners seeks a Public Benefit Specialist to support Mercy - St Vincent Medical Center in Toledo, OH. This on-site role involves assessing Medicaid eligibility for uninsured/under-insured patients and guiding them through the application process.

Ideal candidates have 1–2 years in healthcare finance, knowledge of insurance workflows, and strong communication skills. Benefits include tuition reimbursement, paid certifications, and career advancement opportunities.