An end-to-end revenue cycle services provider serving healthcare organizations for over 30 years.
Eligibility Specialist
Location
United States
Posted
3 days ago
Salary
$20 - $22 / hour
Seniority
Mid Level
Job Description
Eligibility Specialist
Savista
• Conduct advanced eligibility screening to assess financial assistance eligibility and provide compassionate guidance on available programs. • Facilitate the application process for programs such as Medicaid, Medicare, Disability, hospital charity care or unique requirements for non-traditional funding, ensuring timely submission of accurate documentation. • Act as a liaison between patients, hospital staff, and government agencies to establish eligibility, secure funding and resolve coverage issues. • Perform advanced follow-up work across, ensuring applications are complete and processed efficiently. • Identify and assist with technical medical requirements for disability programs, including setting up medical appointments, completing disability applications, submitting appeals, and following through on resolution of applications. • Manage multiple patient cases independently, prioritizing tasks to meet deadlines and ensure effective follow-up on pending applications. • Clearly communicate financial obligations, funding options, and program details to patients in an empathetic and professional manner. • Maintain accurate and confidential records in compliance with HIPAA and organizational policies. • Consistently achieve productivity and quality metrics, contributing to the organization's financial counseling objectives. • Efficiently use multiple systems and databases to gather, track, and report on patient data. • Identify and assist with complex cases, including disability applications, setting up appointments, and submitting appeals, etc. as needed. • Assist in training and supporting colleagues as needed, ensuring seamless onboarding and service delivery. • Complete special projects, as assigned.
Job Requirements
- High school diploma or GED
- At least 2 years of experience in a customer-facing role, preferably in healthcare or financial counseling.
- Flexibility to provide support to multiple hospital locations and in-home patient visits within assigned market area as based on operational needs.
- Strong organizational skills with the ability to handle multiple priorities and maintain accuracy and attention to detail.
- Excellent verbal and written communication skills, with the ability to explain complex information clearly and empathetically.
- Ability to identify solutions to financial challenges, leveraging program knowledge to benefit patients.
- Capability to work in a fast-paced environment with changing priorities and patient needs.
- Demonstrated ability to work independently in locations where potentially only one Eligibility Specialist is assigned.
- Demonstrate genuine care for patients’ needs and concerns, building trust and rapport.
- Work effectively with colleagues, hospital staff, and external agencies to achieve shared goals.
- Ensure all documentation is accurate, complete, and submitted on time.
- Reliable internet connection and a secure workspace.
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