Public Benefit Specialist

ensemblehp; Lima (OH); On-site; USD 26,000 - 28,000; Full time

Benefits offered by this job

Bonus incentives

Paid certifications

Tuition reimbursement

Comprehensive benefits

Career advancement

Job summary

Ensemble seeks a Healthcare Financial Counselor at Mercy - St Rita's Medical Center in Lima, OH. The role focuses on interviewing uninsured/under-insured patients, determining Medicaid eligibility, and guiding them through the application process to support timely billing and access to care.

The ideal candidate has 1–2 years in healthcare patient financial issues, knowledge of revenue cycle processes, and a willingness to pursue CRCR within 9 months.

Qualifications

• 1–2 years in healthcare, interfacing with patients on hospital financial issues.
• Understanding revenue cycle: admissions, billing, payments and denials.
• Knowledge of patient insurance process and benefits verification.
• Familiarity with health insurance terminology and CPT codes.
• Patient access/insurance or call center experience preferred.
• CRCR certification within 9 months of hire.

Responsibilities

• Review uninsured/under-insured patients for program eligibility.
• Coordinate the application process for Medicaid benefits.
• Communicate with patients to obtain necessary documents.
• Follow applications to determination point and ensure timely posting.
• Document actions in patient accounting systems.
• Maintain knowledge of state and federal program requirements.
• Develop relationships with Medicaid caseworkers and partners.
• Other duties as assigned.

Skills

Patient communication

Revenue cycle knowledge

AI curiosity

Education

High school diploma or GED

Job description

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.

Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!

O.N.E Purpose:

Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.

Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.

Striving for Excellence: Execute at a high level by demonstrating our "Best in KLAS" Ensemble Difference Principles and consistently delivering outstanding results.

The Opportunity:

CAREER OPPORTUNITY OFFERING:

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement

This position pays between $18.65 - $20.50/hr. based on experience

This position is located On-Site at Mercy - St Rita's Medical Center in Lima, OH

Interviews uninsured/under-insured patients to determine eligibility for a state Medicaid benefit or location Financial Assistance program. Assists with application processes to facilitate accurate and appropriate submissions. Follows-up on submitted applications to insure timely billing or adjustment processing.

Essential Job Functions :

• Reviewing all 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.

Employment Qualifications:

Minimum years and type of experience:
1-2 years of experience in healthcare industry, interacting with patients regarding hospital financial issues.

Other knowledge, skills, and abilities preferred:

• 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.

Minimum Education :
High School Diploma or GED. Combination of post-secondary education and experience will be considered in lieu of degree.

Certifications:

• CRCR within 9 months of hire.

Join an award-winning company

• Five-time winner of "Best in KLAS" 2020-2022, 2024-2025
• Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024
• 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024
• Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024
• Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023
• Energage Top Workplaces USA 2022-2024
• Fortune Media Best Workplaces in Healthcare 2024
• Monster Top Workplace for Remote Work 2024
• Great Place to Work certified 2023-2024
• Innovation
• Work-Life Flexibility
• Leadership
• Purpose + Values

Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:

• Associate Benefits - We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
• Our Culture - Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
• Growth - We invest in your professional development. Each associate will ea