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Public Benefits Eligibility Specialist

Company: Ensemble Health Partners
Location: Nashua
Posted on: June 5, 2024

Job Description:

*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 North Hospital in Nashua, NH ***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)#INDHPJob Type: Full-timeBenefits:* 401(k)* Dental insurance* Flexible spending account* Health insurance* Health savings account* Life insurance* Paid time off* Vision insuranceSchedule:* Day shift* Monday to FridayEducation:* High school or equivalent (Required)Experience:* Healthcare: 1 year (Required)Work Location: In personby Jobble

Keywords: Ensemble Health Partners, Nashua , Public Benefits Eligibility Specialist, Other , Nashua, New Hampshire

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