Public Benefit Specialist

Ensemble Health Partners; Richmond (VA); On-site; USD 60,000 - 80,000; Full time

Job summary

A leading provider of revenue cycle management solutions is seeking a candidate to work on patient eligibility for programs. This role requires 1-2 years of healthcare experience and a High School Diploma. Responsibilities include reviewing applications, communicating with patients, and maintaining documentation. The position is on-site in Richmond, VA, and offers a salary range between $18.15 - $20.00 based on experience.

Benefits

Bonus Incentives

Paid Certifications

Tuition Reimbursement

Comprehensive Benefits

Career Advancement

Qualifications

• 1-2 years of experience in the healthcare industry, interacting with patients regarding hospital financial issues.
• CRCR certification within 9 months of hire.

Responsibilities

• Review all referred uninsured/under‑insured patients for program eligibility opportunities.
• Effectively communicate with the patient to obtain necessary documents.
• Document all relevant actions in assigned patient accounting systems.
• Develop and maintain relationships with Medicaid caseworker partners.

Skills

Understanding of Revenue Cycle

Knowledge of patient insurance processes

Knowledge of Health Insurance requirements

Patient Access experience with managed care

Education

High School Diploma or GED

Job description

Ensemble Health Partners 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.

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

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement
• This position pays between $18.15 - $20.00 based on experience
• This position is located On‑Site at VCUHS – Gateway Building in Richmond, VA

Essential Job Functions

• Review all referred uninsured/under‑insured patients for program eligibility opportunities, initiate and coordinate the application process to facilitate accurate and appropriate submissions.
• Effectively communicate with the patient to obtain documents that must accompany the application.
• Follow submitted applications to determination point, update applicable insurance information and ensure timely billing or adjustment posting.
• Document all relevant actions and communication steps in assigned patient accounting systems.
• Maintain working knowledge of all state and federal program requirements; share information with colleagues and supervisors.
• Develop and maintain 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.
• Preferred Knowledge, Skills, and Abilities:
  • 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.
• 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.

Compensation

This position pays between $18.15 - $20.00 based on experience.

Benefits

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

Ensemble Health Partners 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 Health Partners also prohibits harassment of applicants or employees based on any of these protected categories. Ensemble Health Partners 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].

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