Public Benefit Specialist

Jobtailor; Effingham (IL); On-site; USD 42,000 - 62,000; Full time

Job summary

Jobtailor is seeking a Patient Financial Counselor to interview uninsured and under-insured patients, determine Medicaid eligibility, and help with local financial assistance options. You will assist with applications and ensure timely submissions, updating insurance information and posting payments.

You will maintain knowledge of state and federal requirements, build relationships with Medicaid caseworkers, collaborate with revenue cycle teams, document interactions in patient accounting

Qualifications

• 1–2 years of experience in the healthcare industry interacting with patients regarding hospital financial issues.
• Understanding of revenue cycle including admission, billing, payments, and denials.
• Knowledge of patient insurance processes for obtaining authorizations and benefits verification.
• Knowledge of health insurance requirements.
• Knowledge of medical terminology or CPT/procedure codes.

Responsibilities

• Interview uninsured and under-insured patients to determine eligibility for Medicaid benefits or local financial assistance programs.
• Assist with application processes to facilitate accurate and appropriate submissions.
• Follow up on submitted applications through determination, updating insurance information and ensuring timely billing or adjustment posting.
• Document relevant actions and communications in patient accounting systems.
• Maintain knowledge of state and federal program requirements and share information with colleagues and supervisors.
• Develop and maintain working relationships with county, state, and federal Medicaid caseworker partners.
• Collaborate with revenue cycle departments and associates.
• Perform other duties as assigned

Skills

Patient Financial Assistance

Application Processing

Billing and Payments

Benefits Verification

CPT/Procedure Codes

CRCR Certification

Education

CRCR Certification

High School Diploma or GED

Tools

Patient Accounting Systems

Job description

Interview uninsured and under-insured patients to determine eligibility for state Medicaid benefits or local financial assistance programs
Assist with application processes to facilitate accurate and appropriate submissions
Follow up on submitted applications through determination, updating insurance information and ensuring timely billing or adjustment posting
Document relevant actions and communications in patient accounting systems
Maintain knowledge of state and federal program requirements and share information with colleagues and supervisors
Develop and maintain working relationships with county, state, and federal Medicaid caseworker partners
Collaborate with revenue cycle departments and associates
Perform other duties as assigned

Requirements

• 1–2 years of experience in the healthcare industry interacting with patients regarding hospital financial issues
• Understanding of revenue cycle including admission, billing, payments, and denials
• Knowledge of patient insurance processes for obtaining authorizations and benefits verification
• Knowledge of health insurance requirements
• Knowledge of medical terminology or CPT/procedure codes
• Patient Access experience with managed care/insurance and call center experience highly preferred
• Openness to innovation, including AI
• High school diploma or GED
• Combination of post-secondary education and experience will be considered in lieu of degree
• CRCR certification within 9 months of hire
• Must reside in and be authorized to work within the United States

Core Competencies

Demonstrates expertise in patient financial assistance processes, including Medicaid eligibility determination and revenue cycle management. Proficient in documenting patient interactions and maintaining compliance with state and federal healthcare regulations.

Highest-signal resume keywords

• Medicaid Eligibility Determination
• Revenue Cycle Management
• Patient Insurance Processes
• CRCR Certification
• Medical Terminology Knowledge

ATS Optimization Keywords

Hard Skills

• Patient Financial Assistance
• Application Processing
• Billing and Payments
• Benefits Verification
• CPT/Procedure Codes

Soft Skills

• Collaboration
• Communication
• Relationship Building
• Openness to Innovation

Certifications & Qualifications

• CRCR Certification

Industry Keywords

• Healthcare Industry
• Managed Care
• Insurance Processes
• Financial Issues
• State and Federal Program Requirements

Tools & Technologies

• Patient Accounting Systems