Eligibility Specialist
2 weeks ago
We are seeking a highly skilled Eligibility Screener to join our team at GetixHealth. As an Eligibility Screener, you will play a critical role in assisting patients with applications for third-party resources, including state aide. This is an onsite position only, and you will be working in a local hospital environment.
Key Responsibilities- Screen patients and/or patient representatives to determine eligibility for Third Party resources.
- Educate patients and patient representatives on the eligibility requirements, application process, and verification requirements for applicable programs.
- Maintain a professional relationship with patients 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 with Eligibility Program standards, client expectations, and all applicable federal and state regulations guidelines.
- 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 patients or patient representatives throughout the eligibility process, keeping them informed of account progress.
- 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 on the eligibility requirements, application process, and verification requirements for applicable programs.
- Responsible for understanding and complying with all policies, procedures, and regulations relating to job duties.
- Perform other duties as assigned by management.
- 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 and able to work inside of a hospital, including visiting hospital rooms to complete tasks, which requires a vaccination regimen and drug screening.
- 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.
- Office environment and patient rooms, within a local hospital.
- Ability to lift and/or move 20 pounds with or without accommodation.
- Heavy walking is required.
- Comprehensive Health Coverage:
- Group medical, dental, and vision plans available from the first day of the month following 90 days of full-time employment.
- Life and Disability Insurance:
- Basic life/AD&D, short-term, and long-term disability coverage provided, with options for voluntary life/AD&D.
- 401(k) Retirement Savings Plan:
- Eligible to participate in the company's 401(k) plan at the beginning of the first calendar quarter following 6 months of continuous service.
- Paid Time Off (PTO):
- Accrue Paid Time Off starting on your first day of employment.
- Flexibility in Benefits:
- The company reserves the right to amend, modify, or terminate any benefits programs as needed.
-
Eligibility Specialist
2 weeks ago
San Bernardino, California, United States GetixHealth Full time{"title": "Eligibility Screener", "description": "Job SummaryWe are seeking a highly skilled Eligibility Screener to join our team at GetixHealth. As an Eligibility Screener, you will play a critical role in assisting patients with applications for third-party resources, including state aide. This is an onsite position only, and you will be working in a...
-
Claims Eligibility Specialist
3 weeks ago
San Francisco, California, United States Zolon Tech Solutions, Inc. Full timeJob Title: Claims Eligibility SpecialistZolon Tech Solutions, Inc. is seeking a skilled Claims Eligibility Specialist to join our team.Job Summary:The Claims Eligibility Specialist will be responsible for adjudicating and processing fee-for-service claims under the direction of the Billing Unit supervisor.Key Responsibilities:Adjudicate and process...
-
Associate Eligibility Specialist
4 weeks ago
San Francisco, California, United States Jefferson County, Colorado Full timeJob Opportunity:We are seeking a highly skilled Eligibility Specialist to join our team at Jefferson County, Colorado. As an Eligibility Specialist, you will play a critical role in evaluating applications and determining eligibility for various government benefits.Recruitment Process:Our Talent Acquisition Team carefully reviews all applications to ensure...
-
Claims Eligibility Specialist
4 weeks ago
San Francisco, California, United States Zolon Tech Solutions, Inc. Full timeZolon Tech Solutions, Inc. is seeking a skilled Claims Eligibility Specialist to join our team. The ideal candidate will have experience in adjudicating and processing fee for service claims under the direction of a supervisor. Key responsibilities include:**Job Summary**As a Claims Eligibility Specialist, you will be responsible for ensuring that claims are...
-
Program Eligibility Specialist
3 days ago
San Luis Obispo, California, United States Community Action Partnership of San Luis Obispo Full timeJob SummaryWe are seeking a highly skilled and detail-oriented Program Eligibility Specialist to join our team at Community Action Partnership of San Luis Obispo. As a Program Eligibility Specialist, you will play a critical role in determining initial and continued eligibility for state and federally funded programs, ensuring that families receive the...
-
Program Eligibility Specialist
4 weeks ago
San Luis Obispo, California, United States Community Action Partnership of San Luis Obispo Full timeJob Title: Program Eligibility SpecialistCommunity Action Partnership of San Luis Obispo is seeking a highly skilled and detail-oriented Program Eligibility Specialist to join our team. As a Program Eligibility Specialist, you will play a critical role in determining initial and continued eligibility for state and federally funded programs.Key...
-
Program Specialist
4 weeks ago
San Francisco, California, United States City and County of San Francisco Full timeJob SummaryWe are seeking a highly skilled Program Specialist to join our team at the City and County of San Francisco. The successful candidate will be responsible for developing and conducting training modules for Medi-Cal and CalFresh programs, as well as providing support to eligibility staff and the public.Key ResponsibilitiesDevelop and present...
-
Housing Services Specialist
4 days ago
San Bernardino, California, United States Housing Authority County of San Bernardino Full timeJob Title: Housing Services SpecialistJoin the Housing Authority of the County of San Bernardino as a Housing Services Specialist and contribute to providing affordable housing solutions to the community.Job Summary:We are seeking a highly skilled and dedicated individual to join our team as a Housing Services Specialist. In this role, you will be...
-
Eligibility Specialist I/II
2 days ago
San Francisco, California, United States County of Shasta, CA Full timeAbout the JobThe County of Shasta, CA is seeking a highly skilled Eligibility Specialist I/II to join our team in Burney, California. As a key member of our Economic Mobility Branch, you will play a vital role in determining the eligibility of applicants and recipients for public assistance programs.Key ResponsibilitiesDetermine eligibility for public...
-
Medical Support Specialist
4 weeks ago
San Bernardino, California, United States Takeda Pharmaceutical Company Ltd Full timeAbout the RoleWe are seeking a highly skilled and compassionate Medical Support Specialist to join our team at BioLife Plasma Services. As a Medical Support Specialist, you will play a critical role in ensuring the health and safety of our donors, while also providing exceptional customer service and support.Key ResponsibilitiesDetermine donor eligibility...
-
Bilingual Program Eligibility Specialist
4 days ago
San Luis Obispo, California, United States Community Action Partnership of San Luis Obispo Full timeJob Title: Bilingual Program Eligibility SpecialistJoin Community Action Partnership of San Luis Obispo as a Bilingual Program Eligibility Specialist and make a meaningful impact in the lives of families and children. As a key member of our team, you will play a vital role in determining eligibility for state and federally funded programs, building trusting...
-
San Bernardino, California, United States County of San Bernardino, CA Full timeJob Title: Human Services System Quality Review SpecialistJoin the County of San Bernardino, CA team as a Human Services System Quality Review Specialist. This role is responsible for conducting quality reviews of public assistance programs, ensuring compliance with regulations and policies.Job Summary:The Human Services System Quality Review Specialist will...
-
Orthopedic Surgeon Specialist
2 weeks ago
San Bernardino, California, United States Concentra Full timeOrthopedic Surgeon Job OpportunityConcentra, a leading healthcare company, is seeking an experienced orthopedic surgeon to join our team as an independent contractor. This role is a great opportunity for a medical professional to complement their current practice while providing specialist services to patients at our location.Job ResponsibilitiesProvide...
-
Office Specialist
4 days ago
San Bernardino, California, United States County of San Bernardino, CA Full timeJob Title: Office SpecialistCounty of San Bernardino, CA is seeking a highly skilled Office Specialist to perform administrative clerical support work involving complex and specialized departmental programs and services.Key Responsibilities:Interview, explain, counsel, advise, or assist patients, employees, clients, candidates, voters, or the general public...
-
Staff Services Manager I Specialist
1 month ago
San Bernardino, California, United States Department of Corrections & Rehabilitation Full timeJob Description and DutiesUnder the direction of a Staff Services Manager II, the Staff Services Manager I Specialist will conduct thorough reviews and analysis of discrimination complaints at assigned institutions, parole regional offices, or other departmental offices. The Specialist will review complaint allegations, manage a caseload of complaint...
-
Eligibility Specialist
2 days ago
San Francisco, California, United States Health Advocates Full timeJob SummaryHealth Advocates is seeking a skilled Eligibility Worker to join our team. As an Eligibility Worker, you will play a critical role in helping patients qualify for governmental benefits, such as Medi-Cal, VOC, SSI/SSDI, and TPL. Your responsibilities will include telephone or bedside screening, completing and submitting applications to county...
-
Medical Support Specialist
4 weeks ago
San Bernardino, California, United States Takeda Pharmaceutical Company Ltd Full timeAbout the RoleWe are seeking a highly skilled and compassionate Medical Support Specialist to join our team at BioLife Plasma Services. As a Medical Support Specialist, you will play a critical role in ensuring the safety and well-being of our donors, while also providing exceptional customer service and support.Key ResponsibilitiesDetermine donor...
-
Special Education Specialist
3 weeks ago
San Bernardino, California, United States Options For Youth Full timeJob Opportunity:Options For Youth (OFY) is seeking a dedicated educator to join our team as a Special Education Specialist. As a key member of our staff, you will play a vital role in supporting students with special needs and identified learning disabilities in our special education program.About the Role:As a Special Education Specialist, you will provide...
-
Housing Services Specialist
2 days ago
San Bernardino, California, United States Housing Authority County of San Bernardino Full timeJob Title: Housing Services SpecialistJoin the Housing Authority of the County of San Bernardino as a Housing Services Specialist and play a vital role in providing housing services to our community.Job Summary:Under general supervision, the Housing Services Specialist performs a variety of duties related to the occupancy and eligibility of Housing Services...
-
Healthcare Enrollment Specialist
4 weeks ago
San Bernardino, California, United States InnovAge Full timeJob Title: Healthcare Enrollment SpecialistAt InnovAge, we are seeking a highly motivated and experienced Healthcare Enrollment Specialist to join our team. As a key member of our enrollment team, you will play a critical role in helping seniors and their families navigate the enrollment process for our PACE program.Responsibilities:Provide exceptional...