Public Benefit Specialist III

1 month ago

Reading, Pennsylvania, United States Ensemble Health Partners Full time

Thank you for considering a career at Ensemble Health Partners

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.

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

The Opportunity:

CAREER OPPORTUNITY OFFERING:

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

The Public Benefits Specialist III interviews uninsured/underinsured patients to determine eligibility for a state Medicaid benefit or a health system's financial assistance program. The Senior Specialist also focuses on QA completion along with peer education and training, is the 1st point of contact for questions and education opportunities, supports in leading meetings and DIBS calls, acts as a project lead to drive team collaboration, as well as providing additional support to both the leader and the team as needed.

Essential Job Functions:

  • Assists with application process to facilitate accurate and appropriate submissions.
  • Follows-up on submitted applications to insure timely billing or adjustment processing.
  • Maintains thorough working knowledge of department policies and procedures to act as subject matter expert for business process questions.
  • Reviews all referred uninsured/underinsured patients for potential program eligibility opportunities. Initializes and coordinates the application process to facilitate accurate and appropriate submissions.
  • Effectively communicates with the patient to obtain documents that must accompany the application.
  • Follows submitted applications to determination point, updates applicable insurance information and ensures timely billing or adjustment posting. Documents all relevant actions and communication steps in assigned patient accounting systems.
  • Maintains working knowledge of all state & federal program requirements; shares information with colleagues and supervisors.
  • Maintains working knowledge of assigned health system's financial assistance policy and application requirements.
  • Develops & maintains proactive working relationship with county/state/federal Medicaid caseworker partners.
  • Works collaboratively with other revenue cycle departments and associates with a special emphasis on Case Management and Patient Access.

Some travel will be required.

Required Certification

  • CRCR within 9 months of hire provided by Ensemble Health Partners

Job Experience

  • 3 to 5 Years

Education Level

  • High School Diploma, GED, or Equivalent Experience

Join an award-winning company

Three-time winner of "Best in KLAS"

2022 Top Workplaces Healthcare Industry Award

2022 Top Workplaces USA Award

2022 Top Workplaces Culture Excellence Awards

  • 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 professional certification relevant to their field and can obtain tuition reimbursement.
  • Recognition - We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.

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

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