Job Information
Ensemble Health Partners Public Benefit Specialist in Lima, Ohio
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:
*This is an Early Career, Full Time, and On-Site position at Mercy St. Rita's Medical Center in Lima, OH*
The Public Benefit Specialist 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.
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 - Company Paid
Join an award-winning company
Three-time winner of "Best in KLAS" 2020-2022
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