Public Benefit Specialist
Core
Interview uninsured/under-insured patients to determine eligibility for state Medicaid or Financial Assistance programs and manage application submissions.
Role type
Public Benefit Specialist (Revenue Cycle)
Builds
Medicaid and Financial Assistance applications for hospital patients
Domain
Healthcare Revenue Cycle Management
Deliverable
client delivery
Required skills
Patient eligibility assessment, application process coordination, document collection, Medicaid program knowledge, federal program compliance, patient communication
Preferred skills
Revenue Cycle knowledge, patient insurance process expertise, medical terminology/CPT codes, managed care experience, call center experience
Technologies
Patient accounting systems
Responsibilities
Review referred patients for program eligibility, coordinate application submissions, communicate with patients to obtain required documents, follow up on applications for timely billing/adjustment, document actions in patient accounting systems, maintain knowledge of state/federal requirements, collaborate with Medicaid caseworkers
Seniority
Entry-level to Junior