Medicaid Eligibility Specialist - Patient Benefits

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

Benefits offered by this job

Comprehensive Benefits

Bonus Incentives

Tuition Reimbursement

Paid Certifications

Career Advancement

Job summary

Ensemble Health Partners is seeking a compassionate patient access professional to support uninsured and under-insured individuals with Medicaid eligibility and financial assistance programs at the Bon Secours - St. Francis Med Ctr in Richmond, Midlothian, VA.

You will review referrals, coordinate applications, obtain supporting documents, and ensure timely billing or adjustments. The role requires 1–2 years in healthcare, knowledge of revenue cycle processes, and a willingness to innovate,

Qualifications

• 1-2 years of experience in healthcare industry, 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. Knowledge of medical terminology or CPT or procedure codes.
• Patient Access experience with managed care/insurance and Call Center experience highly preferred.
• 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 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

Revenue Cycle understanding

Customer communication

Innovation mindset

Healthcare provider relations

Education

High School Diploma or GED

Job description

Ensemble Health Partners is seeking a compassionate patient access professional to support uninsured and under-insured individuals with Medicaid eligibility and financial assistance programs at the Bon Secours - St. Francis Med Ctr in Richmond, Midlothian, VA.

You will review referrals, coordinate applications, obtain supporting documents, and ensure timely billing or adjustments. The role requires 1–2 years in healthcare, knowledge of revenue cycle processes, and a willingness to innovate,