Public Benefit Specialist

Ensemble Health Partners; Reading, Northern (Berks County, KY); 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 Health Partners seeks a patient access specialist for on-site work at Tower - Reading Hospital in West Reading, PA. You will review uninsured patients for program eligibility, collect documents, and coordinate submissions to determine benefits.

Minimum 1–2 years in healthcare with revenue cycle understanding, and Spanish/English bilingual is preferred. Compensation is $18.65–$20.50 per hour, with comprehensive benefits and growth opportunities.

Qualifications

• 1-2 years of experience in healthcare interacting with patients on hospital financial issues.
• Understanding of Revenue Cycle including admissions, billing, payments and denials.
• Knowledge of patient insurance processes for authorizations and benefits verification.
• Knowledge of medical terminology or CPT codes.
• Bilingual Spanish/English preferred.

Responsibilities

• Review referred uninsured/under-insured patients for program eligibility opportunities.
• Coordinate the application process to facilitate submissions.
• Communicate with patients to obtain required documents.
• Update insurance information and ensure timely billing or adjustments.
• Document actions in patient accounting systems.
• Maintain knowledge of state/federal program requirements and share with team.
• Collaborate with Medicaid caseworkers and revenue cycle partners.

Skills

Bilingual Spanish/English

Healthcare patient communication

Revenue Cycle knowledge

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 per hour, based on experience. This position is located On-Site at Tower - Reading Hospital in West Reading, PA.

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.
• 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.
• Bilingual speaking proficiency in Spanish/English

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

Certifications:

• CRCR Required within 9 months of hire (Company Paid)

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.

This posting addresses state specific requirements to provide pay transparency.

Ensemble is dedicated to providing our clients with experienced healthcare finance and revenue cycle professionals. We believe that our core values of trust, integrity, loyalty and service married with the belief that our work is worthwhile helps us build and sustain sincere relationships with our associates and clients. If you are a passionate, dedicated and experienced revenue cycle, consulting or finance professional and seek career and personal growth, we would love to hear from you. We believe we foster an environment where talented individuals can excel and shine. Our team believes that people are the most important part of our success and that when we take care of our people, they pay it forward by providing our clients with excellent results and world-class service.