Public Benefit Specialist

ensemblehp; Springfield (IL); On-site; USD 26,000 - 29,000; Full time

Benefits offered by this job

Bonus incentives

Paid certifications

Tuition reimbursement

Comprehensive benefits

Career advancement

Job summary

Ensemble is a leading provider of revenue cycle management solutions for health systems, hospitals, and affiliated physician groups. This on-site role at St.

John’s Hospital in Springfield supports uninsured and under-insured patients by determining Medicaid eligibility and assisting with applications to ensure timely billing and accurate submissions. You will collaborate with Medicaid caseworkers, maintain robust documentation, and stay current on program requirements while supporting overall

Qualifications

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

Responsibilities

• Interview uninsured/under-insured patients to determine eligibility for Medicaid or Financial Assistance programs.
• Assist with application processes to facilitate accurate and appropriate submissions.
• Follow up on submitted applications to determine timely billing or adjustment processing.
• Document actions and communications in patient accounting systems.
• Maintain knowledge of state and federal program requirements and share with colleagues.

Skills

Healthcare experience

Patient communication

AI awareness

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 based on experience

**This position is located on-Site at HSHS - St. John's Hospital in Springfield, IL**

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 determine 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.
• 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.

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.
• PatientAccess experience with managed care/insurance and CallCenter experience highlypreferred.

Minimum Education :

High School Diploma or GED. Combination of post‑secal education and experience will be considered in lieu of degree.

Certifications:

CRCR within 9monthsof hire.

Join an award‑winning company

• Five‑timewinnerof"BestinKLAS"2020‑2022, 2024‑2025
• BlackBookResearch's TopRevenueCycleManagement OutsourcingSolution2021‑2024
• 22HealthcareFinancialManagementAssociation(HFMA)MAPAwardsforHighPerformanceinRevenueCycle2019‑2024
• LeaderinEverestGroup'sRCMOperationsPEAKMatrixAssessment2024
• ClarivateHealthcareBusinessInsights( HBI)RevenueCycleAwardsforstrongperformance2020,2022‑2023
• EnergageTopWorkplacesUSA2022-2024
• FortuneMediaBestWorkplacesinHealthcare2024
• MonsterTopWorkplaceforRemoteWork2024
• GreatPlacetoWorkcertified2023-2024

• 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 earn a profess