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Specialist Public Benefits- Lorain

Job ID: 4669694
Updated: October 18, 2018
Geographic Location: 
Department: Eligibility
Full/Part Time: Full-Time
Shift: Days
Standard Hours: 40
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Job Summary

This position is located onsite with Mercy Health, a client of Ensemble Health Partners. To learn more about Mercy, click the link below to apply.

The Specialist in Public Benefits is responsible for performing financial counseling duties for all patients scheduled for services at Mercy Health.  They are responsible for performing these functions while meeting the mission and goals of Mercy Health ministry and all regulatory compliance requirements.  The Specialist in Financial Counseling will work within the policies and processes as they are being performed across the entire organization.                                                                                                                                                                                                                                                                                  

Mission/Core Values:  

It is expected that all of the duties and responsibilities of this position will be performed in a manner consistent with the Ministry’s Standards of Behavior (CARE; Compassion: seeks to understand, listen and explain; Advocate: is the voice for the vulnerable;  Respect: demonstrates the highest regard for and welcomes all people; Excellence: commits to the highest standard of quality care, joyful service, and teamwork) and in a manner that reflects the core values of Mercy Health which are: Excellence, Human Dignity, Justice, Compassion, Sacredness of Life and Service. All supervisors and above are expected to model the organizational mission and values through their daily actions, decision making and priority setting. All supervisors and above are expected to develop, implement and monitor short and long range plans to meet or surpass standards consistent with the overall strategic plan.

Responsibilities:

  • Financial Counseling Staff are responsible for obtaining necessary patient demographic information and personal financial information to screen patients for various financial assistance programs.  This includes selecting accurate patient accounts, completing accurate applications for federal, state and local programs, legally acting on behalf of the patient with the county for Medicaid and/or disability determination, communicating with clinicians and/or family members to obtain additional financial information and/or complete necessary forms, understanding the federal and internal federal poverty guidelines and charity approval policy to make an accurate and best financial decision for the patient and organization.
  • Performs other duties as assigned 

Qualifications:

  • High School Diploma or GED
  • 1-2 years experience in healthcare industry.
  • 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.
  • Combination of post-secondary education and experience will be considered in lieu of degree

Hours

Full-time, days, 40 hours per week, 8:00 a.m. to 4:30 p.m.

Equal Employment Opportunity

It is our policy to  abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a), prohibiting discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibiting discrimination against all individuals based on their race, color, religion, sex, sexual orientation, gender identity, or national origin.

About Us

This position will be a part of the revenue cycle team at Ensemble Health Partners - a wholly owned subsidiary of Mercy Health. Ensemble Health Partners specializes in providing revenue cycle solutions and creating real value for its clients by building relationships, reducing revenue cycle spend and delivering exceptional results. Ensemble partners with hospitals across the United States to make real and lasting improvements that impact the bottom line.

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