Manager, Patient Eligibility

About the role

Job Title: Manager, Patient Eligibility
Employment Type: Full-Time; Salaried – Exempt
Pay Range: $75,000 – $85,000 annual salary
Work Location(s): Routine travel will be expected to the following facilities to conduct onsite visits and meet with colleagues and client leadership. While remote work will be allowed from time to time, the role is expected to be onsite for the majority of its responsibilities to ensure operational alignment and team support, where a Drug Free Workplace Policy is enforced.

Responsibilities

• Serve as the primary operational leader for a major client(s) within multiple regions, managing $3.0M+ in revenue.
• Own day-to-day client relationships, ensuring service level agreements (SLAs), quality standards, and performance expectations are met.
• Lead client meetings as appropriate; prepare, review, and present weekly, monthly and quarterly operational reports.
• Proactively identify service risks, performance gaps, or potential contractual concerns and escalate appropriately.
• Drive continuous improvement initiatives to enhance client satisfaction and operational outcomes.
• Partner with hospital leadership, government agencies, and other departments to ensure seamless processes and patient care.
• Travel regularly to assigned facilities, ensuring timely and efficient support across multiple locations within the service area.
• Complete special projects, as assigned.

Operational Excellence

• Manage workload distribution and inventory management across the team, aligning capacity with demand to drive efficiency, productivity, and service level performance.
• Oversee workflow execution, productivity, and quality assurance processes to ensure timely and accurate processing of eligibility accounts.
• Ensure adherence to QA standards; review audit results, implement remedial training and/or corrective actions, and monitor sustained improvement.
• Use multiple systems and databases to gather, track, and report on patient data.
• Develop, refine, and enforce policies and procedures to align with regulatory, compliance, and client requirements.
• Identify opportunities to improve processes, leverage technology, and enhance eligibility workflows.
• Maintain compliance with HIPAA, Medicaid, Charity Care, Disability, and other regulatory guidelines.

Financial Accountability

• Accountable for individual facility level and regional market financial performance, including revenue, expense management, and margin optimization.

Team Management

• Lead, mentor, and develop an eligibility team with both direct and indirect reports, including a supervisor and individual contributors across multiple facilities, ensuring alignment with organizational goals, operational standards, and performance expectations.
• Monitor team and individual performance and quality metrics, providing regular feedback and implement corrective action and performance improvement plans as necessary.
• Oversee hiring, onboarding, performance management, coaching, corrective actions, and terminations in partnership with HR.
• Manage workforce planning, scheduling, overtime oversight, travel expenditures and resource allocation to ensure productivity and coverage standards are achieved.
• Ensure colleagues receive appropriate training, tools, and development opportunities to perform effectively.
• Partner with the Eligibility Specialist III and Revenue Cycle Training team to create and deliver training programs, ensuring colleagues are equipped with knowledge and skills needed to succeed in their roles.

Qualifications

• Bachelor’s Degree in healthcare administration, business, other related field or a combination of education and/or equivalent experience.
• At least 5 years of experience in healthcare eligibility, financial counseling, or case management roles.
• At least 5 years of people management experience, managing team sizes greater than 20 employees.
• Familiarity with state and federal assistance programs such as Medicaid, Medicare, and Social Security Disability.
• Proven ability to lead and motivate teams, fostering a culture of collaboration and accountability.
• Excellent problem-solving skills, with ability to de-escalate and/or resolve complex patient or operational issues.
• 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.
• Ability 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, client staff, and external agencies to achieve shared goals.
• Ensure all documentation is accurate, complete, and submitted on time.

Skills

• Strong leadership and team management skills.
• Exceptional problem-solving and decision-making abilities.
• Effective communication and interpersonal skills.
• Proficiency in healthcare regulations and compliance.
• Experience with healthcare revenue cycle management.
• Ability to manage multiple tasks and prioritize effectively.
• Strong analytical and organizational skills.

Benefits

We offer comprehensive benefits including medical, dental, vision, HSA and FSA accounts, short-term and long-term disability insurance, accident insurance, hospital indemnity insurance, critical illness insurance, life insurance, supplemental insurance, spouse and dependent life insurance, pet insurance, and legal insurance. We also provide wealth benefits like a 401(k) with company match, company HSA contributions, and access to certified financial planners. Generous paid time off includes 17 days PTO for full-time colleagues with increases based on tenure, 9 paid holidays and 40 hours of paid volunteer time each year through our Heart & Soul program. We offer learning & career development with premium LinkedIn Learning access and our SOAR development program. Wellness benefits include free Calm Premium subscription for meditation, stress relief, and sleep support as well as access to our Colleague Assistance Program (EAP) that provides access to licensed professional counselors and work/life resources. Employees can also enjoy employee discounts through Perk Spot, discounted cell-phone plans through Previ, and home/auto insurance discounts. We foster a collaborative, mission-driven culture built on teamwork, empathy, and growth.

About Savista

Savista RCM is a national leader in healthcare revenue cycle management, partnering with hospitals and health systems for more than 30 years. We are trusted for our deep expertise and highly specialized revenue cycle professionals, working alongside our clients as an extension of their teams. Guided by our values of Commitment, Authenticity, Respect, and Excellence (CARE), we believe our success starts with investing in our people. We foster a workplace where colleagues feel supported, included, and empowered to make a meaningful impact. With one of the industry’s most highly trained workforces and with clients all across the United States, Savista offers the stability of an established organization with the agility of a modern, people-first company. Join Savista and build a career where your work directly supports patient care, strengthens healthcare operations and contributes to healthier communities, while growing in a collaborative, mission-driven environment.

Pay Transparency Disclaimer

Savista is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. However, specific compensation for the role will vary within the above range based on many factors including but not limited to geographic location, candidate experience, applicable certifications, and skills.