Public Benefit Specialist

**This Position is located On-Site at Bristol Regional Medical Center in Bristol, TN.

**The schedule will be Monday-Friday 8am-4:30pm, however, you will be required to work every other Saturday and Sunday and will have an additional day off during the week to account for weekend time worked."

Interviews uninsured/under-insured 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 insure 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 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.

• Other job duties as assigned.

Employment Qualifications:

Minimum years and type of experience:

• 1-2 years of experience in healthcare industry, interacting with patients regarding hospital financial issues.

• Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.

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)

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.