Eligibility Specialist 2
2 weeks ago
Eligibility Specialist II 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). Job Purpose The Eligibility Specialist II is a critical advocate for patients, helping uninsured and underinsured individuals access financial assistance for medical care. This role serves as a floater providing vacancy coverage to multiple hospital locations, conducting detailed assessments, guiding patients through application processes for government and charity-funded programs and ensuring compliance with healthcare regulations. Successful candidates are empathetic, detail-oriented, and skilled at navigating complex systems to support patients in receiving the care they need. Work Schedule and Location: Work Hours: Full time, 40 hours per week, hourly position. Flexibility required, with shifts available between 8:00am to 4:30pm to meet business needs. Primary Hospital Locations: This position is onsite and requires floating coverage to multiple primary hospital locations, where a Drug Free Workplace Policy is enforced. Travel will be necessary to the various locations throughout the work week based on operational needs, as well as occasionally providing in-home patient visits: St. Joseph Medical Center 333 Madison St., Joliet, IL. 60435 St. Mary's Hospital 500 W Court St., Kankakee, IL. 60901 In-home patient visits, as the business requires. Additional Locations (Support as needed, in limited capacity, for vacancy coverage): Mercy Medical Center 1325 N Highland Ave., Aurora, IL. 60506 Key Responsibilities Travel regularly to assigned facilities and occasionally conduct in-home visits, ensuring timely and efficient support across multiple locations within the service area. Meet with patients in-person, including bedside visits, to assess financial assistance eligibility and provide compassionate guidance on available programs. Facilitate the application process for programs such as Medicaid, Medicare, Disability, and hospital charity care, ensuring timely submission of accurate documentation. Act as a liaison between patients, hospital staff, and government agencies to establish eligibility, secure funding and resolve coverage issues. Responsible for a high caseload, prioritizing tasks to meet deadlines and ensure effective follow-up on pending applications. Clearly communicate financial obligations, funding options, and program details to patients in an empathetic and professional manner. Maintain accurate and confidential records in compliance with HIPAA and organizational policies. Consistently achieve productivity and quality metrics, contributing to the organization's financial counseling objectives. Efficiently use multiple systems and databases to gather, track, and report on patient data. Assist in training and supporting colleagues as needed, ensuring seamless onboarding and service delivery. Complete special projects, as assigned. Qualifications & Competencies: Required: High school diploma or GED Proficiency in English and Spanish At least 2 years of experience in a customer-facing role, preferably in healthcare or financial counseling. Flexibility to provide support to multiple hospital locations and in-home patient visits within assigned market area as based on operational needs. 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. Capability 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, hospital staff, and external agencies to achieve shared goals. Ensure all documentation is accurate, complete, and submitted on time. Reliable transportation, a valid driver's license, and ability to travel within assigned service area. Travel: Regular daily travel to assigned facilities is required, with occasional field visits to patients' homes. Travel percentage is estimated at 20-30%, not including daily commuting. Preferred: Experience in healthcare revenue cycle, financial counseling, or insurance verification. Familiarity with state and federal assistance programs such as Medicaid, Medicare, and Social Security Disability. Knowledge of medical terminology and healthcare accounts receivable processes. 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 $24.00 to $26.00 per hour. 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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