Eligibility Specialist 1

About the role

The Eligibility Specialist I plays a crucial role in supporting patients who may not have access to necessary medical care due to financial constraints. This position focuses on assessing patients' eligibility for various government and charity-funded programs, facilitating the application process, and ensuring compliance with healthcare regulations.

Responsibilities

• Meet with patients in-person, including bedside visits, to assess financial assistance eligibility and provide compassionate guidance on available programs.
• Facilitate the application process for programs such as Medicaid, Medicare, Disability, and hospital charity care, 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.
• Manage multiple patient cases, 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.
• Absorb special projects, as assigned.

Requirements

• High school diploma or GED
• Proficiency in English and Spanish
• At least 1 year of experience in a customer-facing role, preferably in healthcare or financial counseling
• Flexibility to provide support at nearby hospital locations within assigned market area, as needed for vacancy coverage
• 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
• 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 transportation and a valid driver’s license

Preferred Experience

• Experience in healthcare revenue cycle, financial counseling, or insurance verification
• Basic knowledge of state and federal assistance programs such as Medicaid, Medicare, and Social Security Disability
• Knowledge of medical terminology and healthcare accounts receivable processes

Benefits

Savista offers a competitive salary range for this role, which varies based on factors such as geographic location, candidate experience, applicable certifications, and skills. The salary range is from $19.00 to $21.00 per hour.

Pay

The salary range for this role is from $19.00 to $21.00 per hour.

Schedule

This role is full-time, working 40 hours per week, on an hourly basis. Shifts are available between Sunday through Saturday from 8:00am to 7:00pm to meet business needs.

Qualifications

• High school diploma or GED
• Proficiency in English and Spanish
• At least 1 year of experience in a customer-facing role, preferably in healthcare or financial counseling
• Flexibility to provide support at nearby hospital locations within assigned market area, as needed for vacancy coverage
• 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
• 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 transportation and a valid driver’s license

Skills

• Empathy and compassion
• Detail-oriented
• Navigating healthcare systems
• Customer service skills
• Communication skills
• Financial counseling
• Healthcare knowledge

Benefits

Savista is committed to providing a supportive and inclusive workplace. As an Equal Opportunity Employer, we strive to foster a diverse and equitable environment where everyone feels valued and respected. We offer a comprehensive benefits package that includes:

• Competitive salary range
• Flexible work schedule
• Onsite hospital locations
• Professional development opportunities
• Employee wellness programs
• Flexible vacation and sick leave
• Health, dental, and vision insurance
• Retirement savings plan
• Employee referral bonus

California Job Candidate Notice

As a California-based employer, Savista complies with state-specific laws regarding job postings and notices. This notice informs California job candidates about the company's commitment to equal opportunity and provides information about the salary range for this role.