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. This role requires a deep understanding of healthcare regulations and a strong commitment to patient care.

Responsibilities

• Meet with patients in-person to assess financial assistance eligibility and provide compassionate guidance.
• 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.
• Prioritize 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.
• 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, which may vary based on factors such as geographic location, candidate experience, applicable certifications, and skills. The company also provides a comprehensive benefits package, including health insurance, retirement plans, and paid time off.

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.

Location

This position is onsite and will be required to service the primary hospital locations of: St. Mary’s Hospital – 500 W Court St., Kankakee, IL. 60901

Equal Opportunity Employer

Savista is committed to fostering a diverse and inclusive workplace. As an Equal Opportunity Employer, we do 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.