Eligibility Specialist -North Orange County/Los Angeles

Savista; Pirime; On-site; IDR 100.000.000 - 200.000.000; Full time

Job summary

A healthcare solutions provider seeks an Eligibility Specialist to assist patients with financial assistance applications. The role involves conducting interviews and collaborating with healthcare staff to determine eligibility for programs. Candidates should have a high school diploma and at least six months of customer service experience. The position is on-site in multiple locations in Southern California, offering a competitive salary range of $18.00 to $25.00.

Qualifications

• Minimum six months experience in customer service.
• Ability to manage sensitive information and ensure HIPAA compliance.
• Typing speed of 40 wpm.

Responsibilities

• Aid patients in financial assistance applications.
• Conduct face-to-face eligibility interviews at client sites.
• Collaborate with hospital staff and other agencies.

Skills

Customer service

Time management

HIPAA compliance

Data handling

Education

High school diploma or GED

Tools

Microsoft Office

Internet Explorer

Job description

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 Eligibility Specialist 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.

Shifts vary 8am to 430pm and 11am to 730pm Monday-Friday

This position will be needed on-site at multiple Prime Healthcare locations within the North Orange County-Los Angeles area

LA Facilities

Sherman Oaks Hospital- Sherman Oaks Ca.

Encino Hospital Medical Center- Encino Ca.

Centinela Hospital Medical Center-Inglewood Ca.

San Dimas Community Hospital- San Dimas Ca.

Essential Duties & Responsibilities

• 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
• This position will be needed on-site at multiple Prime Healthcare locations within the North Orange County-Los Angeles area.
• Meet or exceed established productivity, quality, and revenue metric.
  
  

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
• Typing skills of 40 wpm
• Proficient with Internet Explorer and Microsoft Office.
• Maintain acceptable attendance and schedule requirements.
• Flexible work schedule
  
  

Preferred Requirements & Competencies

• Bilingual in English and Spanish (or any other languages)
• 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 $18.00 to $25.00. 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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