Public Benefits Eligibility Specialist

*EARLY CAREER OPPORTUNITY OFFERING:*
* Bonus Incentives
* Paid Certifications
* Tuition Reimbursement
* Comprehensive Benefits
* Career Advancement
*\*\*This is an Early Career opportunity for a Full Time onsite position at St Mary's Health Center in Worcester, MA \*\**
The Public Benefits Specialist interviews uninsured/underinsured 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 ensure 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 a 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.
*Employment Qualifications:*
* 1-2 years of experience in healthcare industry, interacting with patients regarding hospital financial issues preferred.
_*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
Benefits:
* 401(k)
* Dental insurance
* Flexible spending account
* Health insurance
* Health savings account
* Life insurance
* Paid time off
* Vision insurance
Schedule:
* Day shift
* Monday to Friday
Work setting:
* In-person
Education:
* High school or equivalent (Required)
Experience:
* Healthcare: 1 year (Required)
Work Location: In person
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