Patient Service Representative, Benefit Eligibility, Onsite, Cleveland Clinic - Hillcrest Hospital

Centauri Health Solutions; Brampton; On-site; CAD 40,000 - 55,000; Full time

Job summary

A leading healthcare solutions provider is seeking a Patient Service Representative to work onsite at Cleveland Clinic - Hillcrest Hospital. This role involves interviewing patients to determine program eligibility, analyzing reimbursement opportunities, and ensuring patient understanding of the benefits application process. The ideal candidate will have strong customer service skills, be bilingual in English and Spanish, and possess a patient advocacy mindset. Opportunities for growth and competitive pay are offered.

Benefits

Competitive Pay

Paid Time Off

401(k) Match

Tuition Reimbursement

Health Plans

Professional Development

Qualifications

• Minimum 2 years of customer service experience.
• Bilingual in English and Spanish preferred.
• Healthcare or patient contact experience is a plus.

Responsibilities

• Meet with under-insured or uninsured patients to explore eligibility options.
• Interview patients and analyze potential reimbursements.
• Provide excellent client service and team collaboration.

Skills

Customer Service

Communication

Bilingual (English and Spanish)

Patient Advocacy

Multitasking

Job description

Patient Service Representative, Benefit Eligibility, Onsite, Cleveland Clinic - Hillcrest Hospital

Mayfield Heights, OH, USA

Job Description

Posted Thursday, April 24, 2025, at 7:00 AM

Centauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial, and Exchange. Our mission is to improve the lives and health outcomes of members and patients through compassionate outreach, sophisticated analytics, clinical data exchange capabilities, and data-driven solutions. Our solutions address complex problems such as uncompensated care, risk-adjusted revenue for specialized populations, and enhancing access to and measurement of quality care. Headquartered in Scottsdale, AZ, Centauri employs 1,700 associates nationwide. We have been recognized on the Inc. 5000 list since 2019 and on the Deloitte Technology Fast 500 list of fastest-growing U.S. companies in 2020. For more information, visit www.centaurihs.com.

Role Summary

Patient Eligibility Specialists (PSRs) work onsite alongside hospital staff, patients, and team members, interviewing patients to determine program eligibility. They analyze potential reimbursement opportunities and partner with patients to ensure understanding of the benefits application process. PSRs collaborate with team members and clients to meet patient and organizational needs.

Note: Bilingual fluency in English and Spanish is preferred but not required.

Schedule

Monday - Friday, 9:00 AM - 5:30 PM; some travel between CCF locations may be required.

Primary Location

Cleveland Clinic - Hillcrest Hospital, 6780 Mayfield Rd, Mayfield Heights, OH 44124

Responsibilities

1. Meet with under-insured or uninsured patients to explore and identify eligibility program options.
2. Review referrals daily to determine appropriateness for interviews and eligibility, and initiate the application process when applicable.
3. Interview patients, analyze potential reimbursements, and determine eligibility.
4. Introduce services, set expectations, and ensure patient understanding of the process.
5. Assist patients with questions and ensure comprehension during the application process.
6. Obtain and manage necessary forms and follow up throughout the process.
7. Identify additional patient needs and refer to appropriate agencies.
8. Utilize technology and workflows, maintaining data integrity through accurate documentation.
9. Act as an intermediary between clients, account reps, managers, hospital staff, and team members in a cooperative manner.
10. Provide excellent client service and team collaboration.
11. Adhere to role-specific information security and confidentiality policies, completing required training.

Role Requirements

• Minimum 2 years of customer service experience.
• Reliable transportation.
• Bilingual in English and Spanish preferred, with fluency in speaking, reading, and writing.
• Ability to work onsite at the hospital facility.
• Availability to work the scheduled hours.
• Excellent communication skills and a commitment to customer service.
• Patient advocacy mindset and desire to assist others daily.
• Strong work ethic, independence, and ability to make a positive impact.
• Proficiency with computers and multitasking in a fast-paced environment.
• Positive attitude and eagerness to learn.
• Punctuality and consistent attendance.
• Healthcare or patient contact experience is a plus.

We are committed to providing a rewarding work environment with opportunities for growth and achievement. Our benefits include competitive pay, paid time off, a 401(k) match, tuition reimbursement, health plans, volunteer activities, and professional development. This position is bonus eligible as per company policy.

Centauri requires some in-person and hybrid employees to be fully vaccinated. New hires in these categories may need to provide proof of vaccination by their start date. We are an equal opportunity employer and will accommodate those unable to vaccinate where legally permissible.

Starting pay may vary based on location, skills, education, experience, and other factors.