Medicaid Eligibility Specialist — On-Site NM

Ensemble Health Partners; Los Lunas (NM); 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 on-site at Ardent - Valencia County Hospital in Los Lunas, NM for a Patient Access role. You will evaluate uninsured/under-insured patients for Medicaid eligibility and assist with the enrollment process to ensure timely submissions.

The position requires 1–2 years in healthcare patient interactions about hospital finances, knowledge of revenue cycle, and familiarity with insurance verification. Tuition reimbursement and certifications are offered.

Qualifications

• 1–2 years of experience in healthcare interacting with patients regarding hospital financial issues.
• Understanding of revenue cycle including admission, billing, payments and denials.
• Comprehensive knowledge of patient insurance process for obtaining authorizations and benefits verification.
• Knowledge of health insurance requirements and CPT/procedure codes.
• Patient Access experience with managed care/insurance and call center experience preferred.

Responsibilities

• Review referred uninsured/under-insured patients for program eligibility opportunities.
• Coordinate the application process and obtain required documents.
• Follow submissions through determination and ensure timely billing or adjustments.
• Document all actions in assigned patient accounting systems.
• Maintain knowledge of state and federal program requirements; share with teammates.

Skills

Patient interaction

Revenue cycle

Insurance knowledge

Call center

AI openness

Education

High School Diploma or GED

Job description

Ensemble Health Partners is hiring on-site at Ardent - Valencia County Hospital in Los Lunas, NM for a Patient Access role. You will evaluate uninsured/under-insured patients for Medicaid eligibility and assist with the enrollment process to ensure timely submissions.

The position requires 1–2 years in healthcare patient interactions about hospital finances, knowledge of revenue cycle, and familiarity with insurance verification. Tuition reimbursement and certifications are offered.