Job Description

Eligibility Screener If you are a caring, compassionate individual with a sense of community, we have a rewarding career available for you. o Do you want to help those within need in your community? o Would you be interested in assisting healthcare patients to find insurance to assist with their medical bills? o Work in a local hospital assisting patients with applications for third-party resources including state aide. Principal Responsibilities Maintain the appropriate level of work activity according to work standards and establish work processes to ensure timely certification for eligibility programs. Retrieve and forward requested records and information, including medical records, insurance policy information, remittance advice, and itemized statements, to appropriate parties. Analyze, distribute, and follow-up on special requests and adjustments with hospital personnel. Maintain consistent proactive communication with the patient or patient representative throughout the eligibility process, keeping the patient informed of the account progress. Screen patients and/or patient representatives to determine potential eligibility for Third Party resources. Communicate effectively with physicians, case managers, social workers, and hospital business office staff on a daily basis to ensure questions are answered and issues are addressed. Educate patients and patient representatives of the eligibility requirements, application process, and verification requirements for applicable programs. Maintain a professional relationship with the patient and governmental agencies to ensure cooperation and compliance. Document pertinent patient information and all work activity in the appropriate systems dictated by company policies and procedures. Ensure accounts are processed in accordance to Eligibility Program standards, Client expectations, and all applicable federal and state regulations guidelines. Responsible for understanding and complying with all policies, procedures, and regulations relating to job duties. Perform other duties as assigned by management. Requirements High School diploma or General Educational Development (GED) certificate or equivalent in relevant work experience desired. Previous healthcare coverage/eligibility experience preferred. Proficient personal computer skills including Microsoft Office. Ability to maintain the highest level of confidentiality. Bilingual (Spanish) a plus. Excellent interpersonal, written, and oral communication skills. Willing to work inside of a hospital including visiting hospital rooms to complete tasks Ability to work in a team fostered environment. Ability to work in a multi-tasked environment. Ability to prioritize and organize work. Ability to adapt to a flexible schedule. Work Environment Office environment within a local hospital Ability to lift and/or move 20 pounds with or without accommodation. Heavy walking is required Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. GetixHealth

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