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Public Benefits Specialist

Ensemble Health Partners
Ensemble Health Partners Salary
Clarion, PA Full Time
POSTED ON 2/1/2025
AVAILABLE BEFORE 4/1/2025

CAREER OPPORTUNITY OFFERING:

  • 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 Clarion Hospital in Clarion, PA**

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 insure 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.

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.
  • 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. (Company Paid)

#INDHP

Job Type: Full-time

Pay: $18.15 - $20.00 per hour

Expected hours: 40 per week

Benefits:

  • 401(k)
  • Dental insurance
  • Employee assistance program
  • Employee discount
  • Flexible schedule
  • Flexible spending account
  • Health insurance
  • Health savings account
  • Life insurance
  • Paid time off
  • Parental leave
  • Tuition reimbursement
  • Vision insurance

Schedule:

  • 8 hour shift
  • Monday to Friday
  • Weekends as needed

Ability to Commute:

  • Clarion, PA 16214 (Required)

Ability to Relocate:

  • Clarion, PA 16214: Relocate before starting work (Required)

Work Location: In person

Salary : $18 - $20

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