Eligibility Specialist 1

1 month ago

Freehold, United States Savista Full time

Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).

The role of an Eligibility Specialist/Financial Counselor works in one of our Savista service centers, client sites or outreach locations to help identify financial assistance programs for the uninsured or underinsured customers. Provides assistance with the application process and referrals to all State and Federally funded assistance programs, including but not limited to Medicare, Medicaid, Disability and Charity programs.

Essential Duties & Responsibilities:

  • Candidate will be responsible for inpatient/outpatient Financial Program and Eligibility screening onsite at Centrastate Medical Center in Freehold NJ.
  • In-person and Bedside screenings.
  • Processing applications from walk-ins and by mail.
  • Candidate will also be following up by phone and mail for outstanding applications and balances due.
  • Knowledge of Microsoft office
  • Knowledge of NJ Medicaid and Hospital Assistance a plus.
  • Excellent Customer Service skills
  • Perform face-to-face interviews with patients at a client site to determine eligibility for financial assistance. This will require bedside, in patient rooms.
  • Handles high volume of caseloads of patients that need to be screened financially and medically for assistance.
  • Facilitates the application process or directs the patient to the next appropriate step.
  • Submit applications and supporting documentation to the appropriate institution in accordance with company protocol.
  • Act as an advocate for the patient, but also serves as a liaison to other colleagues, client hospital personnel, and government agency staff in a collaborative effort to establish eligibility coverage for future or incurred medical expenses.
  • Provide superior customer service and maintains a professional image.
  • Meet or exceed established productivity, quality, and revenue metrics.
  • Candidate must be Bilingual/Spanish speaking
Minimum Qualifications & Competencies:
  • High school diploma or GED.
  • At least six months of experience in a customer service role, interacting directly with customers either in-person or over the phone.
  • Experience working in a role that requires prioritization while ensuring quality and achievements of performance metrics.
  • Ability to handle sensitive information and maintain HIPAA compliance.
  • Experience in a role that requires accessing multiple databases simultaneously or managing multiple open screens to gather information to discuss with a customer.
  • Proven time management skills.
  • Proficient with Internet Explorer and Microsoft Office.
  • Maintain acceptable attendance and schedule requirements.
Preferred Requirements & Competencies:
  • Six months of experience working within financial counseling in a Hospital, Physician office or home environment, including demonstrated success obtaining patient demographic and financial information, handling insurance verification and obtaining authorizations.
  • Understand federal or state government agencies including Social Security, Medicaid or charity care, healthcare accounts receivable within the healthcare revenue cycle touching patient accounts


Note: Savista is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is from $13.13 to $20.63. 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.

SAVISTA is an Equal Opportunity Employer and does 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.

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