Public Benefit Specialist

Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems. This role is located on‑site at OU Health in Oklahoma City, OK.

• Interview uninsured/under‑insured patients to determine eligibility for state Medicaid benefit or financial assistance program.
• Assist with application processes to facilitate accurate and appropriate submissions.
• Follow up on submitted applications to ensure timely billing or adjustment processing.
• Review all referred uninsured/under‑insured patients for program eligibility opportunities and coordinate the application process.
• Communicate effectively with patients to obtain required documents.
• Update insurance information and ensure timely billing or adjustment posting after determination.
• Document all actions and communication steps in the assigned patient accounting systems.
• Maintain working knowledge of all state and federal program requirements and share information with colleagues and supervisors.
• Develop and maintain proactive working relationships with county/state/federal Medicaid caseworker partners and collaborate with other revenue cycle departments and associates.
• Perform other job duties as assigned.

• 1‑2 years of experience in the healthcare industry interacting with patients regarding hospital financial issues.
• Understanding of revenue cycle, including admission, billing, payments, and denials.
• Comprehensive knowledge of the patient insurance process for obtaining authorizations and benefits verification.
• Knowledge of health insurance requirements and medical terminology or CPT or procedure codes.
• Patient access experience with managed care/insurance and call center experience highly preferred.
• Inquisitive and demonstrating openness to innovation, including AI to improve processes and patient experience.

• Minimum education:
  
  High School Diploma or GED. Combination of post‑secondary education and experience will be considered in lieu of a degree.
• Certification: CRCR within 9 months of hire.

• Comprehensive benefits package designed to support physical, emotional, and financial health (healthcare, time off, retirement, and well‑being programs).
• Tuition reimbursement.
• Professional certification earned annually.
• Quarterly and annual incentive programs.

• Hourly rate: $18.65 – $20.50, based on experience.

Ensemble is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble also prohibits harassment of applicants or employees based on any of these protected categories.

Ensemble provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact