Eligibility Specialist 1

About the role

The Eligibility Specialist I plays a crucial role in supporting uninsured and underinsured patients by assessing their financial assistance eligibility and guiding them through the application process for various healthcare programs.

Responsibilities

• Meet with patients in-person 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 and assist with vacancy coverage, as needed.
• Complete special projects, as assigned.

Requirements

• High school diploma or GED
• 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

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 from $19 to $21 per hour, which may vary based on factors including geographic location, candidate experience, applicable certifications, and skills. Savista is committed to providing a supportive and inclusive workplace where all employees are treated fairly and with respect.

Pay

$19 to $21 per hour

Schedule

Full time, 40 hours per week, hourly position. Flexibility required, with shifts available between Monday through Saturday from 8:00am to 5:00pm to meet business needs.

Qualifications

• High school diploma or GED
• 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

Skills

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

Benefits

• Comprehensive benefits package
• Professional development opportunities
• Flexible work schedule
• Work-life balance
• Team-building activities

Company Culture

Savista fosters a culture of CARE (Commitment, Authenticity, Respect, Excellence), where employees are encouraged to bring their best selves to work every day. We believe in creating a supportive environment where everyone feels valued and empowered to contribute to our mission of enabling healthcare organizations to navigate the challenges of quality clinical care, positive patient experiences, and optimal financial results.

Equal Opportunity Employer

Savista is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class.