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
Patient Access Specialist (Revenue Cycle)
Builds
Accurate Medicaid and Financial Assistance applications for health systems
Domain
Healthcare Revenue Cycle Management
Required skills
Patient eligibility assessment, application process coordination, insurance documentation collection, Medicaid program knowledge, patient communication, regulatory compliance
Preferred skills
Revenue Cycle knowledge, patient insurance process expertise, medical terminology, CPT/procedure codes, managed care experience, call center experience, AI process improvement
Technologies
Patient accounting systems
Responsibilities
Review referred patients for program eligibility, coordinate application processes, communicate with patients to obtain required documents, follow up on submitted applications, document actions in patient accounting systems, maintain knowledge of state/federal program requirements, collaborate with Medicaid caseworkers
Seniority
Entry-level to Junior, hands-on IC