Eligibility Specialist I

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, 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.
• Responsible for a high caseload, 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.
• Assist with vacancy coverage, as needed.
• Complete 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
• Travel: 0%

Preferred Experience

• Experience in healthcare revenue cycle, financial counseling, or insurance verification
• Familiarity with 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 $20 to $24 per hour, with specific compensation varying based on factors such as 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

$20 to $24 per hour

Schedule

Full time, 40 hours per week, hourly position. Flexibility required, with shifts available between Monday through Friday from 8:00am to 4:30pm 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
• Travel: 0%