Remote Medicaid Eligibility Specialist - Impact & Growth

Ensemble Health Partners; United States; À distance; USD 38 000 - 50 000; Plein temps

Avantages offerts par ce poste

Bonus incentives

Paid certifications

Tuition reimbursement

Comprehensive benefits

Career advancement

Résumé du poste

Ensemble Health Partners is seeking a remote Healthcare Eligibility Specialist to interview uninsured/under-insured patients and determine Medicaid eligibility. You will review referrals, collect documents, and coordinate submissions while traveling to client locations as needed.

You will support accurate billing and work within state and federal program requirements. A High School diploma is required; CRCR certification is company-paid within 9 months.

Qualifications

• 1–2 years of experience in healthcare 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.
• This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require.

Responsabilités

• Review referred uninsured/under-insured patients for program eligibility opportunities, initiating and coordinating the application process to facilitate accurate 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.

Connaissances

Healthcare experience

Communication skills

AI openness

Remote work

Travel willingness

Formation

High School Diploma or GED

Post-secondary education + experience considered

Description du poste

Ensemble Health Partners is seeking a remote Healthcare Eligibility Specialist to interview uninsured/under-insured patients and determine Medicaid eligibility. You will review referrals, collect documents, and coordinate submissions while traveling to client locations as needed.

You will support accurate billing and work within state and federal program requirements. A High School diploma is required; CRCR certification is company-paid within 9 months.