Medicaid Eligibility Specialist — On-site Healthcare Access

Ensemble Health Partners; Greenville (SC); On-site; USD 26,000 - 28,000; Full time

Benefits offered by this job

Bonus incentives

Paid certifications

Tuition reimbursement

Job summary

Ensemble Health Partners is hiring for an on-site position in Greenville, SC. The role involves interviewing uninsured/under-insured patients to determine Medicaid eligibility and assisting with application processes to ensure timely billing and adjustments.

Candidates should have 1–2 years in healthcare, knowledge of revenue cycle, and familiarity with insurance verification. A HS diploma is required, with company-paid CRCR certification possible.

Qualifications

• Minimum 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 patient insurance processes for authorizations and benefits verification.
• Patient Access experience with managed care/insurance and call center experience preferred.
• Willingness to innovate, including AI to improve processes.

Responsibilities

• Interview uninsured/under-insured patients to determine Medicaid eligibility.
• Assist with application processes for accurate submissions and timely billing.
• Communicate with patients to obtain required documents.
• Document actions in patient accounting systems and maintain payer information.
• Partner with Medicaid caseworkers and other departments to streamline processes.
• Perform other duties as assigned.

Skills

Revenue cycle knowledge

Patient communication

Healthcare experience

Innovation mindset

Education

High School Diploma or GED

Post-secondary education considered

Tools

Insurance verification tools

Job description

Ensemble Health Partners is hiring for an on-site position in Greenville, SC. The role involves interviewing uninsured/under-insured patients to determine Medicaid eligibility and assisting with application processes to ensure timely billing and adjustments.

Candidates should have 1–2 years in healthcare, knowledge of revenue cycle, and familiarity with insurance verification. A HS diploma is required, with company-paid CRCR certification possible.