Eligibility Specialist 1

About the role

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).

As an Eligibility Specialist I, you’ll get to make a difference in patients’ lives every day! You will be a lifeline for patients navigating some of the most stressful moments of their healthcare journey. In this role, you’ll meet directly with patients and families, listen to their stories, and help them access financial assistance programs that can remove barriers to receiving essential medical care. You’ll use your compassion, communication skills, and problem‑solving abilities to guide patients’ step‑by‑step through applications for Medicaid, Medicare, disability, and hospital charity programs. Every interaction you have helps someone understand their options, feel supported, and move forward with confidence. If you’re motivated by meaningful, people‑centered work – and you want a role where your efforts make a clear and immediate difference – this position offers the opportunity to build relationships, grow your skills, and positively impact patient lives every day.

Responsibilities

• Serve as a patient advocate, meeting with patients in-person at bedside, to assess eligibility for financial assistance programs.
• Engage patients via phone outreach to facilitate their cooperation and support the completion of required screenings and documentation.
• Guide patients through complex application processes for programs such as Medicaid, Medicare, Disability, and hospital charity care, ensuring timely submission of accurate documentation.
• Collaborate and build relationships across teams, acting as a liaison between patients, hospital staff, and government agencies to secure coverage and resolve eligibility issues.
• Manage a high case load effectively, prioritizing tasks, following up on pending applications, and meeting deadlines while also adhering to productivity and quality expectations (KPIs).
• Communicate with clarity and empathy, explaining financial responsibilities and assistance options in ways that patients can understand.
• Maintain accurate and confidential records, ensuring compliance with HIPAA and organizational policies.
• Use multiple systems and tools to document, track, and report on patient information.
• Support operational needs, including providing limited staffing coverage at nearby hospital locations as needed.
• Complete special projects, as assigned.