Public Benefit Specialist

Ensemble Health Partners; Oklahoma; On-site; USD 25,692 - 28,240; Full time

Benefits offered by this job

Comprehensive benefits package

Tuition reimbursement

Annual professional certification

Quarterly incentives

Job summary

Ensemble Health Partners is hiring on-site at OU Health in Oklahoma City, OK to support Medicaid eligibility determinations and financial assistance processes for uninsured patients.

The role involves interviewing patients, assisting with applications, following up on submissions, and coordinating eligibility with state and federal programs. You will document actions in patient accounting systems and maintain knowledge of evolving requirements.

Qualifications

• Experience interacting with patients about hospital financial issues.
• Understanding of revenue cycle including admissions, billing, payments and denials.
• Knowledge of patient insurance processes for authorizations and benefits verification.

Responsibilities

• Interview uninsured/under‑insured patients to determine Medicaid eligibility or financial assistance.
• Assist with applications to facilitate accurate and timely submissions.
• Follow up on submitted applications to ensure timely billing or adjustment processing.
• Review referred patients for program eligibility opportunities and coordinate the process.
• Communicate with patients to obtain required documents.
• Update insurance information and ensure timely posting after determination.
• Document all actions in patient accounting systems.
• Maintain knowledge of state and federal program requirements and share with colleagues.
• Develop relationships with Medicaid caseworkers and collaborate with other revenue cycle teams.
• Perform other job duties as assigned.

Skills

Patient interaction

Revenue cycle understanding

Medical terminology

Call center experience

Education

High School Diploma or GED

CRCR certification

Job description

Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems. This role is located on‑site at OU Health in Oklahoma City, OK.

Responsibilities

• Interview uninsured/under‑insured patients to determine eligibility for state Medicaid benefit or financial assistance program.
• Assist with application processes to facilitate accurate and appropriate submissions.
• Follow up on submitted applications to ensure timely billing or adjustment processing.
• Review all referred uninsured/under‑insured patients for program eligibility opportunities and coordinate the application process.
• Communicate effectively with patients to obtain required documents.
• Update insurance information and ensure timely billing or adjustment posting after determination.
• Document all actions and communication steps in the assigned patient accounting systems.
• Maintain working knowledge of all state and federal program requirements and share information with colleagues and supervisors.
• Develop and maintain proactive working relationships with county/state/federal Medicaid caseworker partners and collaborate with other revenue cycle departments and associates.
• Perform other job duties as assigned.

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.
• Comprehensive knowledge of the patient insurance process for obtaining authorizations and benefits verification.
• Knowledge of health insurance requirements and medical terminology or CPT or procedure codes.
• Patient access experience with managed care/insurance and call center experience highly preferred.
• Inquisitive and demonstrating openness to innovation, including AI to improve processes and patient experience.

Education & Certification

• Minimum education: High School Diploma or GED. Combination of post‑secondary education and experience will be considered in lieu of a degree.
• Certification: CRCR within 9 months of hire.

Benefits

• Comprehensive benefits package designed to support physical, emotional, and financial health (healthcare, time off, retirement, and well‑being programs).
• Tuition reimbursement.
• Professional certification earned annually.
• Quarterly and annual incentive programs.

Pay

• Hourly rate: $18.65 – $20.50, based on experience.

EEO Statement

Ensemble is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble also prohibits harassment of applicants or employees based on any of these protected categories. Ensemble provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact [e-mail].