Eligibility Screener

3 days ago

Merced, United States GetixHealth Full time
Eligibility Screener

Compensation: $21/hr + Quarterly Bonus Eligible

Work shift Monday-Friday 8:00am-4:30pm no weekends

If you are a caring, compassionate individual with a sense of community, we have a rewarding career available for you.

    • Do you want to help those within need in your community?
    • Would you be interested in assisting healthcare patients to find insurance to assist with their medical bills?
    • 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
  • Willing and able to work inside of a hospital, including visiting hospital rooms to complete tasks, which requires individual to be fully vaccinated, including COVID-19 vaccine and booster, current Flu shot and drug screening
  • 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


GETIXHEALTH IS AN EQUAL OPPORTUNITY EMPLOYER