Eligibility Analyst

Found in: beBee jobs US - 1 week ago

Cleveland, Ohio, United States Centauri Health Solutions Full time

Centauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial and Exchange.

In partnership with our clients, we improve the lives and health outcomes of the members and patients we touch through compassionate outreach, sophisticated analytics, clinical data exchange capabilities, and data-driven solutions.

Our solutions directly address complex problems such as uncompensated care within health systems; appropriate, risk-adjusted revenue for specialized sub-populations; and improve access to and quality of care measurement.

Headquartered in Scottsdale, Ariz., Centauri Health Solutions employs 1700 dedicated associates across the country. Centauri has made the prestigious Inc.

5000 list since 2019, as well as the 2020 Deloitte Technology Fast 500 list of the fastest-growing companies in the U.S.

For more information, visit .

Role Summary:


The Field Service Representative/Eligibility Analyst visits patients in their homes and businesses to facilitate completion of government applications, obtaining missing documentation, and verifying existence of third-party insurance.

The Field Service Representative/Eligibility Analyst works with eligibility staff and operations team to ensure the service achieves maximum productivity and profitability.

The Field Service Representative/Eligibility Analyst can juggle multiple priorities and work well independently and as part of a collaborative team.


Role Responsibilities:

  • Develops key government relationships and maintains a positive and professional relationship with county and state contacts
  • Partners in coordinating and conducting quarterly meetings with county officials to ensure effective processes
  • Maintains and updates county contacts and relationships
  • Partners in coordinating and scheduling face-to-face appointments when necessary
  • Coordinates and schedules application submission to county/state offices. Schedules the days that applications are submitted to the county
  • Follows-up with county/state on status of applications for approval within specified timeframes
  • Develops and implements appropriate improvement processes with county/state procedures
  • Provides update on changes in state/county processing guidelines or contacts
  • Investigates and resolves specific county problems or concerns as identified by eligibility staff
  • Provides monthly reports to leadership of county/state activity to support effective processes or to identify potential areas of concern Conduct field visits to various locations including homes, businesses, etc.
  • Prepare all necessary applications and forms needed for field services prior to leaving the office
  • Transport patients to various locations as needed, i.e. MVD, SSA, etc.
  • Act as courier between office and offsite staff, and to governmental facilities.
  • Cover a Patient Service Representative case load as needed.
  • Provide requesting Patient Service Representative any applications or documents secured during the field visit the same day. Maintain detailed and updated documentation in multiple systems
  • Make a serious attempt to collect the information needed, i.e. Call any available phone numbers provided while in the field, be proficient in completing all necessary applications and forms
  • Maintain professional and courteous working relationship with government and client staff.
  • Respond in a timely and professional manner to staff requests for information the way.
  • Interpret policies and procedures as established by management.
  • Performs other related duties as assigned or requested.
  • Occasional availability for overtime, weekends, and evening as needed.
  • Available if needed to rotate on site or in the office as an EA if needed
  • Understands and agrees to role-specific information security access and responsibilities
  • Ensures safety and confidentiality of data and systems by adhering to the organizations information security policies
  • Reads, understands, and agrees to security policies and complete all annual security and compliance training

Role Requirements:

  • 2+ years of experience working in a professional office & fast-paced environment
  • Must have reliable transportation
  • SSA, Medicare, Medicaid and eligibility program knowledge and expertise
  • Strong organizational and planning skills
  • Strong interpersonal skills
  • Excellent verbal and written communication skills, and outstanding telephone etiquette
  • Strong Problem-solving skills
  • Strong computer skills
  • High level of Assertiveness
  • Strong analytical skills and conceptual thinking skills


We believe strongly in providing employees a rewarding work environment in which to grow, excel and achieve personal as well as professional goals.

We offer our employees competitive compensation and a comprehensive benefits package that includes generous paid time off, a matching 401(k) program, tuition reimbursement, annual salary reviews, a comprehensive health plan, the opportunity to participate in volunteer activities on company time, and development opportunities.

This position is bonus eligible in accordance with the terms of the Company's plan.

Centauri currently maintains a policy that requires several in-person and hybrid office workers to be fully vaccinated. New employees in the mentioned categories may require proof of vaccination by their start date.

The Company is an equal opportunity employer and will provide reasonable accommodation to those unable to be vaccinated where it is not an undue hardship to the company to do so as provided under federal, state, and local law.


Factors which may affect starting pay within this range may include geography/market, skills, education, experience and other qualifications of the successful candidate.

This position is bonus eligible in accordance with the terms of the Company's plan.

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