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 hospital systems
Domain
Healthcare Revenue Cycle Management
Deliverable
client delivery
Required skills
Patient eligibility assessment, application process coordination, insurance benefits verification, medical terminology, CPT/procedure codes, patient communication, regulatory compliance
Preferred skills
Revenue Cycle knowledge (admission, billing, denials), managed care experience, call center experience, AI process innovation
Technologies
Patient accounting systems
Responsibilities
Review referred patients for program eligibility, coordinate application submissions, obtain required patient documents, follow up on applications for billing adjustments, document actions in accounting systems, maintain knowledge of state/federal program requirements, collaborate with Medicaid caseworkers
Seniority
Entry-level to Junior