Bilingual Public Benefit Specialist

Project overview

CAREER OPPORTUNITY OFFERING:

*This position is located On-Site at Tower - Reading Hospital in West Reading, PA.

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:

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement
• This position pays between $18.65
• $20.50 per hour, based on experience
• 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.

Requirements

Minimum years and type of experience:

• 1-2 years of experience in healthcare industry, interacting with patients regarding hospital financial issues.
• Bilingual speaking proficiency in Spanish/English

Nice to have

Minimum Education :

Certifications:

• 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.
• 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.
• High School Diploma or GED. Combination of post-secondary education and experience will be considered in lieu of degree.
• CRCR Required within 9 months of hire (Company Paid)

Project details

• Start: flexible
• Location: Wyomissing, PA, United States of America, US
• Rate: 19-21 EUR/h